Provider Demographics
NPI:1548002504
Name:SCOLA, ADINA (LPN)
Entity type:Individual
Prefix:
First Name:ADINA
Middle Name:
Last Name:SCOLA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 RIVERHURST RD APT 303
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-3489
Mailing Address - Country:US
Mailing Address - Phone:978-808-4170
Mailing Address - Fax:
Practice Address - Street 1:4 RIVERHURST RD APT 303
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-3489
Practice Address - Country:US
Practice Address - Phone:978-808-4170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALN92428164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse