Individual provider · Type 1 NPI

Lavondia Edwards, FNP

Family Nurse Practitioner · St. Louis, MO

NPI number 1235460163 Active

Practice location

11133 Dunn Rd
St. Louis, MO 63136-6119

Fax (314) 317-0606

Mailing address

12101 Woodcrest Executive Dr, Suite 210
St. Louis, MO 63141-5047

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2010001250 (MO)
Registered Nurse 163W00000X154318 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1235460163

Lavondia Edwards, FNP's National Provider Identifier is 1235460163, issued on Jan 15, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Apr 22, 2014.