Individual
MRS. MARY KATHRYN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2600 TOWER DR STE 106, MONROE, LA 71201
(318) 966-6400
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202098
LA
363LP2300X
Primary Care Nurse Practitioner
202098
LA
Other
Enumeration date
01/06/2019
Last updated
03/13/2019
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