Individual provider · Type 1 NPI

Ellyn Mae Edwards, PA-C

Medical Physician Assistant · Indianapolis, IN

NPI number 1801363023 Active

Practice location

8402 Harcourt Rd Ste 420
Indianapolis, IN 46260-2053

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X10002590A (IN)

Medical Physician Assistant: Definition to come...

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About NPI 1801363023

Ellyn Mae Edwards, PA-C's National Provider Identifier is 1801363023, issued on Oct 25, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 20, 2022.