Individual
BEATRIX K EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1157 FIRST COLONIAL RD STE 300, VIRGINIA BEACH, VA 23454-2432
(757) 333-8001
(757) 333-8002
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101052205
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005901901
—
VA
01
—
C04588
MEDICARE GROUP NUMBER
VA
01
—
CK5559
RAILROAD MEDICARE
VA
Enumeration date
08/29/2006
Last updated
10/14/2025
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