Individual
COURTNEY RENEE EDMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3041 W US HIGHWAY 36, PENDLETON, IN 46064-9280
(765) 778-0000
Mailing address
3041 W US HIGHWAY 36, PENDLETON, IN 46064-9280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71004242A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201127790
—
IN
Enumeration date
11/19/2012
Last updated
06/20/2022
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