Healthcare Provider Details

I. General information

NPI: 1174254395
Provider Name (Legal Business Name): JULIE ANN EDWARDS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2022
Last Update Date: 06/20/2022
Certification Date: 06/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 SW 6TH AVE
TOPEKA KS
66606-2814
US

IV. Provider business mailing address

3500 SW 6TH AVE
TOPEKA KS
66606-2814
US

V. Phone/Fax

Practice location:
  • Phone: 785-235-0335
  • Fax:
Mailing address:
  • Phone: 785-235-0335
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number81157
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: