Individual provider · Type 1 NPI
Maureen Dawn Carol Edwards, CPNP
Pediatric Nurse Practitioner · Fairfax, VA
NPI number
1467547505
Active
Practice location
13135 US-50, Suite 201
Fairfax, VA 22033
Mailing address
PO Box 99213
Fort Worth, TX 76199-0213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 604584 (TX) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 0021489007 (VA) |
| Pediatric Nurse Practitioner | 363LP0200X | 604584 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1467547505
Maureen Dawn Carol Edwards, CPNP's National Provider Identifier is 1467547505, issued on Oct 4, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fairfax, VA. The record was last updated on Jun 20, 2024.