Individual
MS. EDNA ROSELLEN DEDLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PNP-BC
Contact information
Practice address
719 GREEN VALLEY RD STE 306, GREENSBORO, NC 27408-7026
(336) 275-6470
(336) 275-6474
Mailing address
719 GREEN VALLEY RD STE 306, GREENSBORO, NC 27408-7026
(336) 275-6470
(336) 275-6474
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5007053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265474639
—
NC
Enumeration date
06/12/2006
Last updated
08/10/2021
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