Individual
MRS. MARSHA FAISON EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2000 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 934-9334
(757) 923-9648
Mailing address
PO BOX 877, SUFFOLK, VA 23439-0877
(757) 934-9334
(757) 923-9648
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024078221
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902891005
INDIVIDUAL NPI
VA
Enumeration date
09/14/2005
Last updated
04/10/2020
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