Individual provider · Type 1 NPI

Etheldra Renee Edwards

Nurse Practitioner · Tampa, FL

NPI number 1942777875 Active

Practice location

16615 Vallely Dr
Tampa, FL 33618-1132

Other practice locations

  • 12470 Telecom Dr Ste 300W, Temple Terrace, FL 33637-0904 · (813) 871-8183

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X9388632 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1942777875

Etheldra Renee Edwards's National Provider Identifier is 1942777875, issued on Oct 29, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tampa, FL. The record was last updated on Feb 14, 2020.