Individual
ANNALEE ELIZABETH ROSE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 794-6662
Mailing address
5864 N RHETT AVE APT A8, HANAHAN, SC 29410-2551
(240) 217-5421
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
53658
SC
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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