NPI 1629214549 · live from the CMS NPI Registry
Patricia Lucene Edwards, BSN/CNOR/CRNFA
Registered Nurse, Registered Nurse First Assistant in Flagstaff, AZ. National Provider Identifier 1629214549, active.
NPI record
| NPI | 1629214549 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 1200 N Beaver St, Flagstaff, AZ 86001 |
| Practice phone | 928-814-4143 |
| Mailing address | 2322 N Earle Dr, Flagstaff, AZ 86004 |
| Enumerated | December 23, 2008 |
| Last updated | December 23, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | RN149858 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.