Provider Demographics
NPI:1063736460
Name:MCADAMS, BARBARA A (LPN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:MCADAMS
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 1:509 KENSINGTON LN
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-4528
Mailing Address - Country:US
Mailing Address - Phone:516-681-0241
Mailing Address - Fax:
Practice Address - Street 1:509 KENSINGTON LN
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-4528
Practice Address - Country:US
Practice Address - Phone:516-681-0241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY099416-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse