Individual
ANDRE LAMAR EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
201 9TH ST, MARINA, CA 93933-6039
(838) 884-1166
(831) 884-1002
Mailing address
201 9TH ST, MARINA, CA 93933-6039
(831) 884-1166
(831) 884-1002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
641257
CA
363LF0000X
Family Nurse Practitioner
Primary
NPF22262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPF22262
LICENSE
CA
Enumeration date
01/15/2014
Last updated
04/03/2026
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