Individual
CHARMAIN ELIZABETH EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6100 ROSECREST DR, DAYTON, OH 45414
(937) 898-6219
Mailing address
6100 ROSECREST DR, DAYTON, OH 45414-2831
(937) 898-6219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 133154
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2895934
—
OH
01
—
PN 133154
LPN
OH
Enumeration date
02/10/2009
Last updated
07/22/2009
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