Individual
NICOLE MARIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(586) 703-4476
Mailing address
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3357
(586) 703-4476
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C05191
MD
Other
Enumeration date
09/11/2013
Last updated
08/12/2016
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