Fredric Edwards, RN
Registered Nurse, Case Management in Gallup, NM. Individual provider (NPI-1).
NPI number1306396015
StatusActive
Last updated in NPPESOct 5, 2016
Details
- NPI
- 1306396015
- Entity type
- Individual (NPI-1)
- Name
- Fredric Edwards
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2016
- Last updated
- Oct 5, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | 725470 | TX | Yes |
Practice location
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1790
Mailing address
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1790
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 18 Case Management Registered Nurse providers in Gallup · All 2,281 providers in Gallup
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