Individual
NORDIA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
25925 149TH AVE FL 1, ROSEDALE, NY 11422-3003
(347) 673-4090
Mailing address
25925 149TH AVE FL 1, ROSEDALE, NY 11422-3003
(347) 673-4090
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F312002
NY
363LG0600X
Gerontology Nurse Practitioner
F312002
NY
Other
Enumeration date
01/23/2013
Last updated
02/24/2025
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