Nancy W. Adam, A.R.N.P.
Individual provider Active NPI Nurse Practitioner · Poulsbo, WA
NPI 1790835684 · NPPES record last updated Jul 31, 2009
Key facts
- NPI
- 1790835684
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP30000468 (WA)
- Practice address
- 19379 7TH Ave NE
Poulsbo, WA 98370-7504 - Phone
- (360) 394-1000
- NPI assigned
- Jan 11, 2007
- 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)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30000468 | WA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30000468 | WA | Yes |
Addresses
Primary practice location
19379 7TH Ave NE
Poulsbo, WA 98370-7504
Mailing address
PO Box 34581
Seattle, WA 98124-1581
Phone (509) 241-7349
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9603390 | Medicaid | WA |
Other providers in Poulsbo, WA
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- Cynthia P. Acob
- Acupuncture and Wellness Center
- Acupunture & Wellness Center PS
- Abimbola Adike
- Advanced Bodywork Therapy Inc
- Barry Allen Allbee
- Darcy M Allbee
- Sarah S Allbee
All providers in Poulsbo, WA · Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2009. 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.