Individual
MRS. EVA ANGEL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP-BC,RFNA,CNO
Contact information
Practice address
204 TOWN BRANCH RD, MANCHESTER, KY 40962
(606) 598-8766
(606) 598-1903
Mailing address
204 TOWN BRANCH RD, MANCHESTER, KY 40962-1322
(606) 598-8766
(606) 598-1903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1090669
KY
163WR0006X
Registered Nurse First Assistant
CEP11471
KY
363L00000X
Nurse Practitioner
3010637
KY
363LF0000X
Family Nurse Practitioner
Primary
3010637
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3010637
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000280746
BCBS
KY
01
—
474730776
FAMILY PRACTICE OF KENTUCKY LLC
KY
01
—
611341461
EDWARDS CLINIC PSC
KY
01
—
611341461
EDWARDS CLINIC PSC
—
05
—
7100423770
—
KY
Enumeration date
04/24/2007
Last updated
09/19/2022
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