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NPI Code Detail

MEDICARE: MRS. SONIA LEE EDWARDS ARNP

MEDICARE: MRS. SONIA LEE EDWARDS ARNP
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
1363LA2200XAdult Health Nurse Practitioner26NJ00276100NJ

General Provider Information

NPI Number : 1215929773
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SONIA LEE EDWARDS ARNP
Provider Business Mailing Address
First Line : 865 STONE ST
Second Line :
City : RAHWAY
State : NJ
Zip : 07065-2742
Country : US
Telephone Number : 732-499-6082
Fax Number :
Provider Business Practice Location Address
First Line : 865 STONE ST
Second Line :
City : RAHWAY
State : NJ
Zip : 07065-2742
Country : US
Telephone Number : 732-499-6094
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 04/15/2015

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