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Individual

MILDRED EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
3 BARKER AVE, FL 4, WHITE PLAINS, NY 10601-1509
(914) 949-1199
(914) 949-1245
Mailing address
3 BARKER AVE, FL 4, WHITE PLAINS, NY 10601-1509
(914) 949-1199
(914) 949-1245

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F302580
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01912078
NY
Enumeration date
07/26/2005
Last updated
06/16/2018
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