Serena Raquel Adams in Idaho Falls - Physician Assistant
Serena Raquel Adams - NPI 1669543450
Serena Raquel Adams is a Physician Assistant in Idaho Falls, Idaho. Serena Raquel Adams practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Serena Raquel Adams is 1669543450. The last update date is 2008-01-23.
Serena Raquel Adams's current location address is 2990 Cortez Ave, Idaho Falls, Idaho. You can contact this provider via phone number 2085350440 and fax number 2085350550. The mailing address for Serena Raquel Adams is 2990 Cortez Ave, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Serena Raquel Adams |
|---|---|
| Address | 2990 Cortez Ave, Idaho Falls, Idaho |
| Phone Number | 2085350440 |
| Fax Number | 2085350550 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1669543450 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2008-01-23 |
Provider Mailing Address Detail
| Address | 2990 Cortez Ave |
|---|---|
| City | Idaho Falls |
| State | Idaho (ID) |
| Post Code | 834047554 |
| Phone Number | 2085350440 |
| Fax Number | 2085350550 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA634 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the Serena Raquel Adams's 1669543450?
The Serena Raquel Adams's NPI (National Provider Identifier) Number is 1669543450. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the Serena Raquel Adams's specialty and taxonomy code?
The Serena Raquel Adams's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When was the Serena Raquel Adams's 1669543450 issued?
The Serena Raquel Adams's 1669543450 was issued on 2006-11-13.
When was the Serena Raquel Adams's information last updated?
The Serena Raquel Adams's information was last updated on 2008-01-23.
When was the information pertaining to Serena Raquel Adams most recently updated or revised?
The details related to Serena Raquel Adams, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-23.
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