Individual provider · NPI-1

Loretta Margaret Adams, NP

Nurse Practitioner, Adult Health · Islandia, NY

NPI number1447440235
StatusActive
Last updated in NPPESFeb 18, 2022

Details

NPI
1447440235
Entity type
Individual (NPI-1)
Name
Loretta Margaret Adams
Credential
NP
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 27, 2007
Certification date
Feb 18, 2022
Last updated
Feb 18, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult HealthF-301510-1NYYes
207L00000X AnesthesiologyF301510NY
363LA2200X Nurse Practitioner, Adult Health301510NY

Practice location

2950 Expressway Dr S Ste 108
Islandia, NY 11749-1412

Phone 631-439-5300 · Fax 631-439-5301

Mailing address

972 Brush Hollow Rd
Westbury, NY 11590-1740

Phone 516-876-5555 · Fax 516-876-1246

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