Individual
MIRANDA NICOLE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.063393
IL
208000000X
Pediatrics Physician
Primary
0059094
CO
208000000X
Pediatrics Physician
125.063393
IL
208000000X
Pediatrics Physician
E-20611
AR
Other
Enumeration date
06/18/2013
Last updated
08/07/2026
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