Wanda Faye Edwards, LPN
Licensed Practical Nurse in Stone Mountain, GA. Individual provider (NPI-1).
NPI number1477054849
StatusActive
Last updated in NPPESMay 5, 2020
Details
- NPI
- 1477054849
- Entity type
- Individual (NPI-1)
- Name
- Wanda Faye Edwards
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 21, 2018
- Certification date
- May 5, 2020
- Last updated
- May 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LPN090419 | GA | Yes |
| 164W00000X | Licensed Practical Nurse | PN5196378 | FL | |
| 247000000X | Technician, Health Information | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
5666 Longbow DrStone Mountain, GA 30087-5230
Phone 954-305-1262
Mailing address
5666 Longbow DrStone Mountain, GA 30087-5230
Phone 678-235-8439
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All 20 Licensed Practical Nurse providers in Stone Mountain · All 1,438 providers in Stone Mountain
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