Individual
MS. BETHANY ROXANNA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, BC, FNP
Contact information
Practice address
7055 GLEN OAKS DR, BATON ROUGE, LA 70812-1832
(225) 355-7284
(225) 356-1616
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006091
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1682349
—
LA
Enumeration date
02/07/2007
Last updated
07/22/2016
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