Charmaine Lasha Adair
Nurse Practitioner, Primary Care in Tallahassee, FL. Individual provider (NPI-1).
NPI number1881295780
StatusActive
Last updated in NPPESNov 5, 2020
Details
- NPI
- 1881295780
- Entity type
- Individual (NPI-1)
- Name
- Charmaine Lasha Adair
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 5, 2020
- Certification date
- Nov 5, 2020
- Last updated
- Nov 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | APRN11009682 | FL | Yes |
| 363LA2200X | Nurse Practitioner, Adult Health | APRN11009682 | FL | |
| 363LG0600X | Nurse Practitioner, Gerontology | APRN11009682 | FL |
Other names
- Charmaine Lasha Houston (Former Name)
Practice location
1601 S Martin Luther King Jr BlvdTallahassee, FL 32307-3105
Phone 850-599-3000
Mailing address
3034 Sera Bella WayKissimmee, FL 34744-9338
Phone 407-973-5295
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