Individual provider · Type 1 NPI
Bonnie Edwards
Driver · Etowah, TN
NPI number
1306679683
Active
Practice location
154 County Road 812
Etowah, TN 37331-5244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 115885758 (TN) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1306679683
Bonnie Edwards's National Provider Identifier is 1306679683, issued on Aug 22, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Etowah, TN. The record was last updated on Aug 22, 2024.