Individual
CARY DAWN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-3570
(417) 556-6475
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 556-3570
(417) 556-6475
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2001014352
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215186754
—
MO
05
—
200215180A
—
OK
05
—
200577270B
—
KS
01
—
P00843750
RAIL ROAD MEDICARE
MO
Enumeration date
09/09/2008
Last updated
09/14/2022
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