Provider Demographics
NPI:1447732854
Name:ADAMS, TOYA LANETTE
Entity type:Individual
Prefix:
First Name:TOYA
Middle Name:LANETTE
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 1:9501 W SAHARA AVE APT 2126
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-5328
Mailing Address - Country:US
Mailing Address - Phone:702-782-4791
Mailing Address - Fax:
Practice Address - Street 1:9501 W SAHARA AVE APT 2126
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-5328
Practice Address - Country:US
Practice Address - Phone:702-782-4791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide