Individual
NAKIA ANTOINETTE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1541 FLORIDA AVE STE 100, MODESTO, CA 95350-4438
(209) 577-3388
(209) 338-0024
Mailing address
3055 FLOYD AVE, APT 245, MODESTO, CA 95355-7932
(334) 421-7476
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
101.0137900
VT
363LP2300X
Primary Care Nurse Practitioner
1-141525
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95011384
CA
Other
Enumeration date
02/06/2019
Last updated
05/12/2025
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