Healthcare Provider Details

I. General information

NPI: 1538405980
Provider Name (Legal Business Name): FELICIA S EDWARDS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2012
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date: 05/27/2015
Reactivation Date: 10/03/2019

III. Provider practice location address

101 5TH ST SE STE G
BARBERTON OH
44203-4225
US

IV. Provider business mailing address

101 5TH ST SE STE G
BARBERTON OH
44203-4225
US

V. Phone/Fax

Practice location:
  • Phone: 330-745-3151
  • Fax:
Mailing address:
  • Phone: 330-745-3151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0033481
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.401553
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: