Provider Demographics
NPI:1215285515
Name:ADARA HEALTHCARE STAFFING
Entity type:Organization
Organization Name:ADARA HEALTHCARE STAFFING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:OFARRELL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:814-693-1415
Mailing Address - Street 1:241 MAPLE HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:DUNCANSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16635-7006
Mailing Address - Country:US
Mailing Address - Phone:814-693-1415
Mailing Address - Fax:814-693-9880
Practice Address - Street 1:241 MAPLE HOLLOW RD
Practice Address - Street 2:
Practice Address - City:DUNCANSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16635-7006
Practice Address - Country:US
Practice Address - Phone:814-693-1415
Practice Address - Fax:814-693-9880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-17
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN309263L171W00000X
363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Single Specialty