Individual
TERESA JUNE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 630-2228
(308) 630-1704
Mailing address
4021 AVENUE B, SCOTTSBLUFF, NE 69361-4602
(308) 630-2228
(308) 630-1704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110781
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110781
LICENSE NUMBER APRN
NE
Enumeration date
01/30/2007
Last updated
09/30/2013
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