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NPI Code Detail

MEDICARE: MARGARET BLUFORD-EDWARDS

MEDICARE: MARGARET BLUFORD-EDWARDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WG0600XGerontology Registered Nurse377456CA

General Provider Information

NPI Number : 1346693660
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET BLUFORD-EDWARDS
Provider Business Mailing Address
First Line : 180 PROMENADE CIR
Second Line : 300
City : SACRAMENTO
State : CA
Zip : 95834-2939
Country : US
Telephone Number : 916-414-9055
Fax Number : 916-414-9054
Provider Business Practice Location Address
First Line : 180 PROMENADE CIR
Second Line : 300
City : SACRAMENTO
State : CA
Zip : 95834-2939
Country : US
Telephone Number : 916-414-9055
Fax Number : 916-414-9054
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2016
Last Update Date : 07/21/2016

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