Nicole Adams

Individual provider Active NPI Registered Nurse · Johnstown, PA

NPI 1275906182 · NPPES record last updated Nov 2, 2015

Key facts

NPI
1275906182
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN636758 (PA)
Practice address
401 Broad St
Johnstown, PA 15906-2716
Phone
(814) 535-6000
Fax
(814) 248-7901
NPI assigned
Nov 2, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN636758PAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN636758 PA Yes

Addresses

Primary practice location

401 Broad St
Johnstown, PA 15906-2716

Mailing address

401 Broad St
Johnstown, PA 15906-2716
Phone (814) 535-6000

Other providers in Johnstown, PA

All providers in Johnstown, PA · Registered Nurse in Pennsylvania

Sources for this page

Verify at the official NPI Registry.