Organization
PEDS FIRST HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAPHNE COOK EDWARDS DNP, CPNP (PRESIDENT/OWNER)
(804) 454-1483
Entity
Organization
Contact information
Practice address
2493 BOULEVARD, COLONIAL HEIGHTS, VA 23834-2317
(804) 504-5490
Mailing address
10221 KRAUSE RD UNIT 1262, CHESTERFIELD, VA 23832-1250
(804) 803-3334
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
09/28/2024
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