Individual
STACY LEE EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
227 ELIZABETH AVE, LANSDOWNE, MD 21227-2941
(443) 465-6941
Mailing address
227 ELIZABETH AVE, LANSDOWNE, MD 21227-2941
(443) 465-6941
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R151855
MD
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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