Individual
EDMARIE ANDRENE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1250 BROADWAY FL 2, NEW YORK, NY 10001-3797
(212) 760-3102
Mailing address
1250 BROADWAY FL 2, NEW YORK, NY 10001-3797
(212) 760-3102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F3357271
NY
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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