Individual
MRS. THERESA KAY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
1205 FAIRINGTON DR, SIDNEY, OH 45365-8144
(937) 492-8431
(937) 498-5126
Mailing address
1205 FAIRINGTON DR, SIDNEY, OH 45365-8144
(937) 492-8431
(937) 498-5126
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN301671
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.022941
OH
Other
Enumeration date
07/27/2018
Last updated
12/01/2020
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