Individual
MS. SHELLY ANN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
920 N QUINCY AVE, OTTUMWA, IA 52501-3866
(641) 455-5200
(641) 455-5150
Mailing address
920 N QUINCY AVE, OTTUMWA, IA 52501-3866
(641) 455-5200
(641) 455-5150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A078405
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245671122
NPI #
IA
01
—
A078405
LICENSE #
IA
Enumeration date
07/08/2013
Last updated
01/16/2014
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