Adriana Addison is a Family in Grantsburg, Wisconsin. Adriana Addison practices all healthcare services and medical treatments related to Family. The NPI Number for Adriana Addison is 1902053952. The last update date is 2019-01-22.
Adriana Addison's current location address is 257 W Saint George Ave, Grantsburg, Wisconsin. You can contact this provider via phone number 7154635317. The mailing address for Adriana Addison is 257 W Saint George Ave, Grantsburg, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adriana Addison |
|---|---|
| Address | 257 W Saint George Ave, Grantsburg, Wisconsin |
| Phone Number | 7154635317 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | FNP-BC |
NPI Number Detail
| NPI Number | 1902053952 |
|---|---|
| Provider Enumeration Date | 2008-08-21 |
| Last Updated Date | 2019-01-22 |
Provider Mailing Address Detail
| Address | 257 W Saint George Ave |
|---|---|
| City | Grantsburg |
| State | Wisconsin (WI) |
| Post Code | 548407827 |
| Phone Number | 7154635317 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 3647 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 190205392 | WI | -- | |
| 190205392 | MN | -- |
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What is the unique 10-digit identification code issued to Adriana Addison by the Centers for Medicare & Medicaid Services?
The Adriana Addison has been assigned the NPI (National Provider Identifier) 1902053952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Adriana Addison?
The Adriana Addison is situated at 257 W Saint George Ave, in the city of Grantsburg, state of WI, with the zip code 548407827.
What is Adriana Addison's specialized field of practice, and what is the corresponding taxonomy classification code?
The Adriana Addison's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902053952 to Adriana Addison?
The Adriana Addison received its 1902053952 assignment from the Centers for Medicare & Medicaid Services on 2008-08-21.
When was the information regarding Adriana Addison most recently updated?
The details pertaining to the Adriana Addison, including its address, specialty, and other relevant information, were last refreshed on 2019-01-22.