Willie Edwards CRNA

NPI 1073614418 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1073614418
Gender Male
Enumeration Date 09/26/2006
Last Updated 02/14/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
PALATKA FL, 32177-3810, US
Phone (386) 326-7865
Business Location
PO BOX 3123
ST AUGUSTINE FL, 32085-3123, US
Phone (904) 824-4990
Fax (904) 824-2226
Taxonomy Code 367500000X
License State Florida
License Number ARNP618162
Remove 1073614418 NPI Number

According to our database, Willie Edwards CRNA NPI is 1073614418, taxonomy code is 367500000X and license number is ARNP618162, license state is located at Florida. Willie Edwards CRNA physically located at 611 Zeagler Dr, Palatka FL, 32177-3810. NPI Number Willie Edwards CRNA has the Individual type.

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1073614418 NPI number is provided on an as is basis without warranty of any kind. 1073614418 is maintained by the National Plan & Provider Enumeration System. The contents of Willie Edwards CRNA are for informational purposes only.