Provider Demographics
NPI:1285246397
Name:ADAMS, SHATERIKA
Entity type:Individual
Prefix:
First Name:SHATERIKA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3013 GATEWAY DR APT 203
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-1144
Mailing Address - Country:US
Mailing Address - Phone:757-379-8057
Mailing Address - Fax:
Practice Address - Street 1:3013 GATEWAY DR APT 203
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-1144
Practice Address - Country:US
Practice Address - Phone:757-379-8057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-19
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)