Basic Information
| Provider Information | |||||||||
| NPI: | 1760034730 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ADAMS | ||||||||
| FirstName: | ANASTASIA | ||||||||
| MiddleName: | FRANCES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3400 KENT AVE APT D301 | ||||||||
| Address2: | |||||||||
| City: | METAIRIE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700063983 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5049197471 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 931 WESTWOOD DR STE E | ||||||||
| Address2: | |||||||||
| City: | MARRERO | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700722400 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043408880 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2019 | ||||||||
| LastUpdateDate: | 07/10/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171M00000X | Y | Other Service Providers | Case Manager/Care Coordinator |
No ID Information.