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Individual

MS. ANDREA MARIE EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1051 LOFTIS BLVD, SUITE 100, NEWPORT NEWS, VA 23606-3069
(757) 873-9400
(757) 873-9420
Mailing address
5900 LAKE WRIGHT DR, NORFOLK, VA 23502-1871
(757) 466-8683
(757) 466-8892

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003405
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1033427588
VA
Enumeration date
09/17/2010
Last updated
09/23/2011
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