Provider Demographics
NPI:1538444500
Name:ADAMS, TONI ALECIA (NP-C)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:ALECIA
Last Name:ADAMS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 360
Mailing Address - Street 2:
Mailing Address - City:NEODESHA
Mailing Address - State:KS
Mailing Address - Zip Code:66757-0360
Mailing Address - Country:US
Mailing Address - Phone:620-325-2611
Mailing Address - Fax:620-325-8453
Practice Address - Street 1:2600 OTTAWA RD STE 101
Practice Address - Street 2:
Practice Address - City:NEODESHA
Practice Address - State:KS
Practice Address - Zip Code:66757-1897
Practice Address - Country:US
Practice Address - Phone:620-325-2611
Practice Address - Fax:620-325-5380
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-75534363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily