Individual provider · NPI-1

Harvey Shane Adams, APRN

Nurse Practitioner, Family · Oklahoma City, OK

NPI number1003363250
StatusActive
Last updated in NPPESOct 4, 2017

Details

NPI
1003363250
Entity type
Individual (NPI-1)
Name
Harvey Shane Adams
Credential
APRN
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 6, 2016
Last updated
Oct 4, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyR0077957OKYes

Practice location

12112 Greenlawn Ave
Oklahoma City, OK 73170-4842

Phone 405-823-5302

Mailing address

12112 Greenlawn Ave
Oklahoma City, OK 73170-4842

Phone 405-823-5302

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