NPI 1215992292 · live from the CMS NPI Registry
Nicholas M Edwards, MD MPH
Pediatrics, Sports Medicine in Woodbury, MN. National Provider Identifier 1215992292, active.
NPI record
| NPI | 1215992292 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Sports Medicine 2080S0010X |
| Practice location | 155 Radio Dr, Woodbury, MN 55125 |
| Practice phone | 952-831-8742 |
| Mailing address | 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425 |
| Enumerated | April 20, 2006 |
| Last updated | June 12, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | 47394 (WI) |
| Pediatrics, Sports Medicine | 2080S0010X | 35.094808 (OH) |
| Pediatrics, Sports Medicine primary | 2080S0010X | 48608 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.