Individual
BARBARA EDISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
200 EXTON CT, GAHANNA, OH 43230-2519
(614) 496-6925
Mailing address
200 EXTON CT, GAHANNA, OH 43230-2519
(614) 496-6925
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN072027
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285754
—
OH
Enumeration date
10/03/2008
Last updated
10/03/2008
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