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Individual
MRS. ELISHA JEAN EDRINGTON-MEDINA
Active
Individual
MRS. ELISHA JEAN EDRINGTON-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP136055
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382140701
—
TX
01
—
382140702
CSHCN
TX
Enumeration date
01/23/2018
Last updated
05/18/2018
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