Individual
MICHAEL S EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
1957 THOMPSON RD, COOS BAY, OR 97420-2040
(541) 267-4429
(541) 267-5247
Mailing address
1957 THOMPSON RD, COOS BAY, OR 97420-2040
(541) 267-4429
(541) 267-5247
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070797
CNOR
OR
Enumeration date
01/10/2008
Last updated
01/10/2008
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