Healthcare Provider Details

I. General information

NPI: 1932036753
Provider Name (Legal Business Name): EMILY EDWARDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1990 E CHANEYVILLE RD
OWINGS MD
20736-4355
US

IV. Provider business mailing address

1990 E CHANEYVILLE RD
OWINGS MD
20736-4355
US

V. Phone/Fax

Practice location:
  • Phone: 410-286-7575
  • Fax:
Mailing address:
  • Phone: 410-286-7575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: