Individual
MRS. KIMBERLY CARLEEN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN DNP FNP
Contact information
Practice address
1606 NW 26TH ST, LINCOLN CITY, OR 97367-4307
(509) 720-4953
Mailing address
1606 NW 26TH ST, LINCOLN CITY, OR 97367-4307
(509) 720-4953
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200142508RN
OR
363LF0000X
Family Nurse Practitioner
Primary
10049713
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
11/01/2022
Last updated
10/16/2025
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