Basic Information
| Provider Information | |||||||||
| NPI: | 1366863888 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ADAMS | ||||||||
| FirstName: | LAREINA | ||||||||
| MiddleName: | RENEE' | ||||||||
| NamePrefix: | |||||||||
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| Credential: | DNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 590 W PUTNAM AVE | ||||||||
| Address2: | |||||||||
| City: | PORTERVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932573257 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5597813700 | ||||||||
| FaxNumber: | 5593061376 | ||||||||
| Practice Location | |||||||||
| Address1: | 590 W PUTNAM AVE | ||||||||
| Address2: | |||||||||
| City: | PORTERVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932573257 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5597813700 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/31/2013 | ||||||||
| LastUpdateDate: | 07/16/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 07/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | 190604 | TN | N | Nursing Service Providers | Registered Nurse | 163WC0200X | 190604 | TN | N | Nursing Service Providers | Registered Nurse | Critical Care Medicine | 363L00000X | F06172114 | MS | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 363LC1500X | F06172114 | MS | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Community Health | 363LF0000X | 95007880 | CA | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LP2300X | F06172114 | MS | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care | 363LF0000X | F06172114 | MS | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.