Individual
STEPHEN NICHOLAS EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11159 OAKRIDGE DR, FISHERS, IN 46038-1759
(317) 258-0555
Mailing address
11159 OAKRIDGE DR, FISHERS, IN 46038-1759
(317) 258-0555
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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