Provider Demographics
NPI:1346072808
Name:STINSON, ADIA EVANNE DAYNA
Entity type:Individual
Prefix:
First Name:ADIA
Middle Name:EVANNE DAYNA
Last Name:STINSON
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 1:2578 BATELEUR CT
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-7944
Mailing Address - Country:US
Mailing Address - Phone:929-689-1889
Mailing Address - Fax:
Practice Address - Street 1:2578 BATELEUR CT
Practice Address - Street 2:
Practice Address - City:GRAYSON
Practice Address - State:GA
Practice Address - Zip Code:30017-7944
Practice Address - Country:US
Practice Address - Phone:929-689-1889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-14
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome Health