Individual
EUGENE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
152 E FOREST DR, NEBO, NC 28761-9540
(828) 925-1696
Mailing address
PO BOX 446, NEBO, NC 28761-0004
(828) 925-1696
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
M0956578
—
363LA2100X
Acute Care Nurse Practitioner
Primary
5017459
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250554
NURSE
NC
01
—
M0956578
NATIONAL REGISTRY
—
Enumeration date
07/26/2022
Last updated
02/12/2023
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