Healthcare Provider Details

I. General information

NPI: 1326487521
Provider Name (Legal Business Name): TRISHA MCMICHAEL EDWARDS CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TRISHA EDWARDS CRNA

II. Dates (important events)

Enumeration Date: 06/20/2013
Last Update Date: 06/07/2020
Certification Date: 06/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E ROLLINS ST
ORLANDO FL
32803-1248
US

IV. Provider business mailing address

291 SOUTHHALL LN SUITE 201
MAITLAND FL
32751-7274
US

V. Phone/Fax

Practice location:
  • Phone: 407-667-0444
  • Fax: 407-667-4338
Mailing address:
  • Phone: 407-667-0444
  • Fax: 407-667-4338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP9318324
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: