Individual provider · Type 1 NPI
Fredric Edwards, RN
Case Management Registered Nurse · Gallup, NM
NPI number
1306396015
Active
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse Primary | 163WC0400X | 725470 (TX) |
Case Management Registered Nurse: Definition to come...
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About NPI 1306396015
Fredric Edwards, RN's National Provider Identifier is 1306396015, issued on Oct 5, 2016. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Gallup, NM. The record was last updated on Oct 5, 2016.