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Individual
MR. BRENT ALLEN EDWARDS
Active
Individual
MR. BRENT ALLEN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
95023840
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
408625
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95040585
CA
Other
Enumeration date
07/20/2024
Last updated
07/24/2026
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