Provider Demographics
NPI:1184232845
Name:ADAM, MIHAELA LOREDANA (AGNP)
Entity type:Individual
Prefix:MRS
First Name:MIHAELA
Middle Name:LOREDANA
Last Name:ADAM
Suffix:
Gender:F
Credentials:AGNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6775 REID DR
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4502
Mailing Address - Country:US
Mailing Address - Phone:440-623-5785
Mailing Address - Fax:
Practice Address - Street 1:6775 REID DR
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-4502
Practice Address - Country:US
Practice Address - Phone:440-623-5785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-20
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH026043363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner