Individual
CHERYL W EDELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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