Provider Demographics
NPI:1972821643
Name:ADAMS, CONSTANCE ANNE (MS RN CCNS CCRN)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:ANNE
Last Name:ADAMS
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Gender:F
Credentials:MS RN CCNS CCRN
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Mailing Address - Street 1:4320 FIR ST
Mailing Address - Street 2:STE 320
Mailing Address - City:EAST CHICAGO
Mailing Address - State:IN
Mailing Address - Zip Code:46312-3076
Mailing Address - Country:US
Mailing Address - Phone:219-554-4085
Mailing Address - Fax:219-554-4085
Practice Address - Street 1:4320 FIR ST
Practice Address - Street 2:STE 320
Practice Address - City:EAST CHICAGO
Practice Address - State:IN
Practice Address - Zip Code:46312-3076
Practice Address - Country:US
Practice Address - Phone:219-554-4080
Practice Address - Fax:219-554-4085
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2010-12-20
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Provider Licenses
StateLicense IDTaxonomies
IN2809270A364S00000X
IN71003316A364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist