Individual
MRS. DIANNA JOY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052490
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA052490
LICENSE
PA
01
—
P00438462
RAILROAD MEDICARE
—
Enumeration date
06/14/2006
Last updated
03/07/2023
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