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Individual
ALYSSA PAGE EDWARDS
Active
Individual
ALYSSA PAGE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 209309-9
MN
363LA2200X
Adult Health Nurse Practitioner
Primary
CNP5016
MN
364SG0600X
Gerontology Clinical Nurse Specialist
CNP5016
MN
Other
Enumeration date
01/27/2017
Last updated
09/14/2023
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