Deena Y Adams

Individual provider Active NPI Registered Nurse · Milford, MA

NPI 1972149987 · NPPES record last updated Mar 1, 2021

Key facts

NPI
1972149987
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN2338460 (MA)
Practice address
321 Fortune Blvd
Milford, MA 01757-1750
Phone
(508) 478-0207
Fax
(508) 634-6984
NPI assigned
Nov 25, 2019
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
RN2338460MAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Registered Nurse 163W00000X RN2338460 MA Yes

Addresses

Primary practice location

321 Fortune Blvd
Milford, MA 01757-1750

Mailing address

12 Ebbett Ave
Quincy, MA 02170-3428
Phone (704) 222-9111

Other providers in Milford, MA

All providers in Milford, MA · Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.