Individual
ANDY JAY EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
7050 UNION PARK CENTER, #200, MIDVALE, UT 84047-4171
(888) 562-5442
(562) 499-6171
Mailing address
200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
(888) 562-5442
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
8650489-3102
UT
363LF0000X
Family Nurse Practitioner
8560489-4405
UT
363LF0000X
Family Nurse Practitioner
8650489-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8560489-4405
UT
Other
Enumeration date
01/25/2018
Last updated
07/27/2023
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