Individual
MISS NATALEE RENEE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-3101
Mailing address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 338-3101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10001106A
IN
363AM0700X
Medical Physician Assistant
Primary
10001106A
IN
Other
Enumeration date
08/17/2009
Last updated
06/20/2022
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