Larreasha Kentoria Adams, APRN
Nurse Practitioner, Gerontology in Wichita, KS. Individual provider (NPI-1).
NPI number1811505803
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1811505803
- Entity type
- Individual (NPI-1)
- Name
- Larreasha Kentoria Adams
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2020
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | APRN.CNP.0034578 | OH | Yes |
| 363LF0000X | Nurse Practitioner, Family | 80274 | KS | |
| 363L00000X | Nurse Practitioner | 125505 | AR |
Practice location
345 N Riverview St Ste 500Wichita, KS 67203-4265
Phone 316-616-1055
Mailing address
345 N Riverview St Ste 500Wichita, KS 67203-4265
Phone 316-616-1055
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