Individual
CHERYL W EDELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
800 HOSPITAL DR, MADISONVILLE, KY 42431-1658
(270) 326-3800
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2291P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044293
BCBS PROVIDER NUMBER
—
01
—
2291P
LICENSE
KY
05
—
78001492
—
KY
Enumeration date
09/17/2006
Last updated
01/08/2015
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