Louise Adams, A.P.N.

Individual provider Active NPI Pediatric Nurse Practitioner · Paterson, NJ

NPI 1972559656 · NPPES record last updated May 26, 2015

Key facts

NPI
1972559656
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Nurse Practitioner 363LP0200X
License
26NJ00023300 (NJ)
Practice address
703 Main St
St. Joseph'S Regional Medical Center
Paterson, NJ 07503-2621
Phone
(973) 754-2052
NPI assigned
May 25, 2006
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

LicenseStateTypeSpecialty
26NJ00023300NJMDPediatric Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00023300 NJ Yes

Addresses

Primary practice location

703 Main St
St. Joseph'S Regional Medical Center
Paterson, NJ 07503-2621

Mailing address

703 Main St
St. Joseph'S Regional Medical Center
Paterson, NJ 07503-2621
Phone (973) 754-2052

Other identifiers

IdentifierTypeStateIssuer
0085723MedicaidNJ

Other providers in Paterson, NJ

All providers in Paterson, NJ · Pediatric Nurse Practitioner in New Jersey

Sources for this page

Verify at the official NPI Registry.