Individual provider · NPI-1

Avalon Terry-Ann Adams, RN

Registered Nurse, General Practice · Brooklyn, NY

NPI number1780465914
StatusActive
Last updated in NPPESOct 12, 2023

Details

NPI
1780465914
Entity type
Individual (NPI-1)
Name
Avalon Terry-Ann Adams
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 12, 2023
Certification date
Oct 12, 2023
Last updated
Oct 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice728001NYYes

Practice location

321 Berriman St
Brooklyn, NY 11208-3612

Phone 347-530-5773

Mailing address

321 Berriman St
Brooklyn, NY 11208-3612

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