Individual
MARY DALE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1268 S 4TH ST, HARTSVILLE, SC 29550-0703
(843) 332-3422
Mailing address
PO BOX 1090, HARTSVILLE, SC 29551-1090
(843) 857-0111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95980
SC
363LF0000X
Family Nurse Practitioner
Primary
20030
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4124
—
SC
Enumeration date
04/22/2014
Last updated
09/22/2021
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