Renea Adams, CRNP
Individual provider Active NPI Family Nurse Practitioner · Wadley, AL
NPI 1447536768 · NPPES record last updated Jan 30, 2012
Key facts
- NPI
- 1447536768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-047722 (AL)
- Practice address
- 203 Tallapoosa St
Wadley, AL 36276 - Phone
- (256) 395-4157
- NPI assigned
- Nov 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-047722 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randolph Medical Associates | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-047722 | AL | Yes |
Addresses
Primary practice location
203 Tallapoosa St
Wadley, AL 36276
Mailing address
PO Box 361
Wadley, AL 36276-0361
Phone (256) 395-2550
Other providers in Wadley, AL
- Encore Rehabilitation, Inc.
- Mary Elizabeth Merritt
- Quality of Life Health Services, Inc
- Vernesa Sanford
- The Health Care Authority of the Town of Wedowee
All providers in Wadley, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.