Individual
ELIZABETH ASHLEY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1408 POMERELLE AVE STE H, BURLEY, ID 83318-2068
(208) 677-6170
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10378613-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
74168
ID
Other
Enumeration date
06/15/2022
Last updated
05/12/2023
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