Individual provider · Type 1 NPI

Stephanie Edwards, PA-C

Medical Physician Assistant · West Hartford, CT

NPI number 1891101036 Active

Practice location

557 Prospect Ave Ste 102
West Hartford, CT 06105-2965

Call (860) 606-4090 Map

Fax (888) 268-2187

Mailing address

1060 Mapleton Ave
Suffield, CT 06078-1333

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X23.00314 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1891101036

Stephanie Edwards, PA-C's National Provider Identifier is 1891101036, issued on Jul 9, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Hartford, CT. The record was last updated on Apr 13, 2026.