Kellie Edwardsen, AGACNP
Nurse Practitioner, Acute Care in Dallas, TX. Individual provider (NPI-1).
NPI number1982248548
StatusActive
Last updated in NPPESNov 6, 2019
Details
- NPI
- 1982248548
- Entity type
- Individual (NPI-1)
- Name
- Kellie Edwardsen
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2019
- Last updated
- Nov 6, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | AP143845 | TX | Yes |
Practice location
221 W Colorado BlvdDallas, TX 75208-2363
Phone 214-934-8424
Mailing address
6808 Southpoint DrDallas, TX 75248-2226
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