Colleen R. Edwards

NPI 1538483334 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1538483334
Gender Female
Enumeration Date 03/23/2010
Last Updated 03/23/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1100 W 21ST ST
CLOVIS NM, 88101-4151, US
Phone (575) 769-2345
Fax (575) 769-8974
Business Location
1100 W 21ST ST
CLOVIS NM, 88101-4151, US
Phone (575) 769-2345
Fax (575) 769-8974
Toxanomy
Taxonomy Code 164W00000X
License State New Mexico
License Number L16507
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According to our database, Colleen R. Edwards NPI is 1538483334, taxonomy code is 164W00000X and license number is L16507, license state is located at New Mexico. Colleen R. Edwards physically located at 1100 W 21st St, Clovis NM, 88101-4151. NPI Number Colleen R. Edwards has the Individual type.

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1538483334 NPI number is provided on an as is basis without warranty of any kind. 1538483334 is maintained by the National Plan & Provider Enumeration System. The contents of Colleen R. Edwards are for informational purposes only.