DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WANDA M EDWARDS BS, MHPP, MS

MEDICARE:   WANDA M EDWARDS  BS, MHPP, MS
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
1171M00000XCase Manager/Care Coordinator
2251S00000XCommunity/Behavioral Health Agency
3225400000XRehabilitation Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407148430
Entity Type Code : Individual
Provider Name (Legal Business Name) : WANDA M EDWARDS BS, MHPP, MS
Provider Business Mailing Address
First Line : 1101 WITHERSPOON LN
Second Line :
City : PRINCETON
State : TX
Zip : 75407-5839
Country : US
Telephone Number : 469-918-3066
Fax Number :
Provider Business Practice Location Address
First Line : 1101 WITHERSPOON LN
Second Line :
City : PRINCETON
State : TX
Zip : 75407-5839
Country : US
Telephone Number : 469-918-3066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2011
Last Update Date : 01/20/2026

Similar Medicare Providers

1881552511 — CAROL RICHARD
Practice Location Address:
6808 HAINES DR
PRINCETON, TX
75407-5859
Practice Phone: 972-546-4318
Practice Fax:
1073170411 — TRUDIAN ALICIA LESTER-HAUGHTON FNP
Practice Location Address:
670 W PRINCETON DR STE 440
PRINCETON, TX
75407-2533
Practice Phone: 972-699-5250
Practice Fax:
1518947258 — DR. BEEZER MOOLJI MD
Practice Location Address:
136 S 2ND ST
PRINCETON, TX
75407-6562
Practice Phone: 469-581-8115
Practice Fax: 469-581-8114
1477593457 — DR. JEREMY CHRISTOPHER SCHMID D.C.
Practice Location Address:
712 W PRINCETON DRIVE
PRINCETON, TX
75407
Practice Phone: 972-734-1400
Practice Fax: 972-736-2024
1972543882 — MR. MICHAEL ROY LOVELACE DDS
Practice Location Address:
710 W PRINCETON DR
PRINCETON, TX
75407-9039
Practice Phone: 972-734-3336
Practice Fax: 469-519-0163
1306856265 — SCHMID CHIROPRACTIC, P.A.
Practice Location Address:
712 W PRINCETON DRIVE
PRINCETON, TX
75407
Practice Phone: 972-734-1400
Practice Fax: 972-736-2024

Directions to “ WANDA M EDWARDS BS, MHPP, MS” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.