Audrey Quinn Adames, LPN

Individual provider Active NPI Licensed Practical Nurse · Vancouver, WA

NPI 1831402080 · NPPES record last updated Oct 22, 2012

Key facts

NPI
1831402080
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
201030059LPN (OR)
Practice address
200 NW 107TH St
Vancouver, WA 98685-5249
Phone
(360) 254-2816
NPI assigned
Jul 16, 2010
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
201030059LPNORMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 201030059LPN OR Yes

Addresses

Primary practice location

200 NW 107TH St
Vancouver, WA 98685-5249

Mailing address

200 NW 107TH St
Vancouver, WA 98685-5249
Phone (360) 254-2816

Other providers in Vancouver, WA

All providers in Vancouver, WA · Licensed Practical Nurse in Washington

Sources for this page

Verify at the official NPI Registry.