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NPI Code Detail

MEDICARE: DR. MICHELLE L EDWARDS DNP, FNP-BC, ACNP-BC

MEDICARE: DR. MICHELLE L EDWARDS DNP, FNP-BC, ACNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2100XAcute Care Nurse Practitioner646117TX
2363LF0000XFamily Nurse Practitioner646117TX

General Provider Information

NPI Number : 1033280342
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHELLE L EDWARDS DNP, FNP-BC, ACNP-BC
Provider Business Mailing Address
First Line : PO BOX 714
Second Line :
City : LEAGUE CITY
State : TX
Zip : 77574-0714
Country : US
Telephone Number : 713-534-1718
Fax Number : 713-640-5213
Provider Business Practice Location Address
First Line : 7324 SOUTHWEST FWY
Second Line : SUITE 885
City : HOUSTON
State : TX
Zip : 77074-2012
Country : US
Telephone Number : 713-534-1718
Fax Number : 713-640-5213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 09/17/2013

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