Corby Adams, MSN
Individual provider Active NPI Registered Nurse · Willard, UT
NPI 1790572345 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1790572345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 5000009-3102 (UT)
- Practice address
- 1016 W 8000 S
Willard, UT 84340-6703 - Phone
- (801) 668-9457
- NPI assigned
- Apr 24, 2025
- 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
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5000009-3102 | UT | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 5000009-3102 | UT | Yes |
Addresses
Primary practice location
1016 W 8000 S
Willard, UT 84340-6703
Mailing address
1016 W 8000 S
Willard, UT 84340-6703
Other providers in Willard, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. 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.