Theresa Kay Edwards, APRN-CNP
Nurse Practitioner, Gerontology in Sidney, OH. Individual provider (NPI-1).
NPI number1013494558
StatusActive
Last updated in NPPESDec 1, 2020
Details
- NPI
- 1013494558
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Theresa Kay Edwards
- Credential
- APRN-CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2018
- Certification date
- Dec 1, 2020
- Last updated
- Dec 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | APRN.CNP.022941 | OH | Yes |
| 163WG0000X | Registered Nurse, General Practice | RN301671 | OH |
Practice location
1205 Fairington DrSidney, OH 45365-8144
Phone 937-492-8431 · Fax 937-498-5126
Mailing address
1205 Fairington DrSidney, OH 45365-8144
Phone 937-492-8431 · Fax 937-498-5126
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