Individual
CRISTI DE'SHAE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4574 BRIMMER PLACE DR, KERNERSVILLE, NC 27284-7797
(336) 413-9619
Mailing address
4574 BRIMMER PLACE DR, KERNERSVILLE, NC 27284-7797
(336) 413-9619
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
1401108358
NC
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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