Individual
MR. BRENT ALLEN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
610 EUCLID AVE STE 200, NATIONAL CITY, CA 91950-2951
(619) 267-9257
(619) 267-9273
Mailing address
2122 S EL CAMINO REAL STE 200, OCEANSIDE, CA 92054-6210
(619) 267-9257
(619) 267-9273
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95023840
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
408625
NY
Other
Enumeration date
07/20/2024
Last updated
06/01/2026
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