Individual
MRS. REBECCA E EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2470 ROCKY RIDGE RD, BIRMINGHAM, AL 35243-2833
(205) 978-3336
(205) 503-4915
Mailing address
2470 ROCKY RIDGE RD, VESTAVIA, AL 35243-2833
(205) 978-3336
(205) 503-4915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1096124
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51514894EDW
BCBS OF ALABAMA
AL
05
—
630000004
—
AL
05
—
630009004
—
AL
05
—
630409102
—
AL
01
—
630727804
TAX ID
AL
Enumeration date
08/05/2006
Last updated
05/10/2012
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