Individual
KATHRYN LEONA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2355 W ARLINGTON BLVD, GREENVILLE, NC 27834-2847
(252) 744-2545
(252) 744-1817
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010106
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326554163
—
NC
01
—
19YYP
BCBS OF NC
—
01
—
NN11050322
MEDICARE
NC
Enumeration date
12/15/2017
Last updated
02/09/2024
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