Individual
JOSEPH A. VINCENT EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1721 MAGNAVOX WAY STE B, FORT WAYNE, IN 46804-1537
(260) 748-3650
(260) 748-3651
Mailing address
1721 MAGNAVOX WAY STE B, FORT WAYNE, IN 46804-1537
(260) 748-3650
(260) 748-3651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71012377A
IN
Other
Enumeration date
03/16/2022
Last updated
03/17/2022
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