Individual
ELAINE ISABELLA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1035 PLACER ST, REDDING, CA 96001-1125
(415) 606-4501
Mailing address
1035 PLACER ST, REDDING, CA 96001-1125
(415) 606-4501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95003815
CA
Other
Enumeration date
02/26/2016
Last updated
09/18/2016
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