Healthcare Provider Details

I. General information

NPI: 1124930748
Provider Name (Legal Business Name): NATACHA EDWARDS NP IN FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 WALL ST STE 1487
NEW YORK NY
10005-4301
US

IV. Provider business mailing address

99 WALL ST STE 1487
NEW YORK NY
10005-4301
US

V. Phone/Fax

Practice location:
  • Phone: 954-756-3362
  • Fax: 954-756-3362
Mailing address:
  • Phone: 954-756-3362
  • Fax: 954-756-3362

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NATACHA EDWARDS
Title or Position: OWNER/FNP
Credential:
Phone: 954-756-3362