Individual
MRS. MAUREEN DAWN CAROL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
13135 US-50, SUITE 201, FAIRFAX, VA 22033
(703) 391-0900
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-4446
(817) 810-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0021489007
VA
363LP0200X
Pediatric Nurse Practitioner
604584
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
604584
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288190601
—
TX
01
—
288190602
CSHCN
TX
Enumeration date
10/04/2006
Last updated
06/20/2024
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