Healthcare Provider Details

I. General information

NPI: 1336535939
Provider Name (Legal Business Name): EMILY EDWARDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2015
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1524 W LACEY BLVD
HANFORD CA
93230-5965
US

IV. Provider business mailing address

1524 W LACEY BLVD
HANFORD CA
93230-5965
US

V. Phone/Fax

Practice location:
  • Phone: 559-537-0320
  • Fax:
Mailing address:
  • Phone: 559-537-0320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95041825
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: