Individual
MYRANDA NYCOLE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
856 GEORGES FORK RD, BURNSVILLE, NC 28714-7842
(828) 682-9675
Mailing address
856 GEORGES FORK RD, BURNSVILLE, NC 28714-7842
(828) 682-9675
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5012682
NC
363LF0000X
Family Nurse Practitioner
Primary
5012682
NC
Other
Enumeration date
01/08/2020
Last updated
11/15/2023
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