Mr Holden Bo Adams, RN | |
315 Hospital Dr, Madison, TN 37115-5030 | |
(615) 732-7662 | |
Not Available |
Full Name | Mr Holden Bo Adams |
---|---|
Gender | Male |
Speciality | Registered Nurse |
Location | 315 Hospital Dr, Madison, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508520099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 9832681-3102 (Utah) | Primary |
Entity Name | Mountain View Anesthesia Lc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043249840 PECOS PAC ID: 5991604829 Enrollment ID: O20040108000626 |
Mailing Address | Practice Location Address |
---|---|
Mr Holden Bo Adams, RN 671 N 150 E, Salem, UT 84653-5705 Ph: (801) 369-2587 | Mr Holden Bo Adams, RN 315 Hospital Dr, Madison, TN 37115-5030 Ph: (615) 732-7662 |
Patrick Grant Moss, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Carson Stafford, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Hayden Wood, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Krupa Master, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Angelica Ian Cabrera Bautista, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Leah R Olley, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 | |
Shai Charlton, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 315 Hospital Dr, Madison, TN 37115 Phone: 615-732-7662 |