Individual
MARNIE E. EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1311
(304) 766-3600
Mailing address
331 LAIDLEY ST, SUITE 606, CHARLESTON, WV 25301-1619
(304) 344-0096
(304) 342-4725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
048337
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069322000
—
WV
Enumeration date
07/15/2006
Last updated
07/09/2007
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