Individual
DANIELLE LYNN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1701 N SENATE BLVD # AG373A, INDIANAPOLIS, IN 46202-1239
(317) 962-8880
(317) 962-5492
Mailing address
1701 N SENATE BLVD # AG373A, INDIANAPOLIS, IN 46202-1239
(317) 962-8880
(317) 962-5492
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008736
CO
363AM0700X
Medical Physician Assistant
10002861A
IN
Other
Enumeration date
11/18/2019
Last updated
01/14/2025
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