Ayla Adams, PA-C
Physician Assistant in Peoria, IL. Individual provider (NPI-1).
NPI number1376320499
StatusActive
Last updated in NPPESSep 12, 2023
Details
- NPI
- 1376320499
- Entity type
- Individual (NPI-1)
- Name
- Ms. Ayla Adams
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2023
- Certification date
- Sep 12, 2023
- Last updated
- Sep 12, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085.010022 | IL | Yes |
Practice location
8914 N Knoxville AvePeoria, IL 61615-1410
Phone 309-691-9110
Mailing address
1641 Timber Ridge CtEast Peoria, IL 61611-9760
Phone 309-635-2904
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