Individual
MRS. DIANE RENEE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
500 5TH AVE, 6W, SEATTLE, WA 98104-2332
(206) 296-1091
Mailing address
8929 131ST AVE SE, SNOHOMISH, WA 98290-9061
(360) 563-9007
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30000718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8563603
—
WA
Enumeration date
11/13/2006
Last updated
03/07/2023
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