Individual
JUDY LINN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
803 HACIENDA LN, BLOOMFIELD, NM 87413-5109
(505) 632-1823
Mailing address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
025.0128559
VT
164W00000X
Licensed Practical Nurse
LPN094988
GA
164W00000X
Licensed Practical Nurse
Primary
PN5177062
FL
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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