Individual
MRS. PATRICIA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
795 BRIDGE ST, APT 1, LOWELL, MA 01850-1604
(978) 996-5234
Mailing address
795 BRIDGE ST, APT 1, LOWELL, MA 01850-1604
(978) 996-5234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
239235
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110081311A
MASSHEALTH PROVIDER ID/SERVICE LOCATION
MA
Enumeration date
06/23/2009
Last updated
06/23/2009
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