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NPI Code Detail

MEDICARE: ROSS-ANDRE EDWARDS CRNA

MEDICARE: ROSS-ANDRE EDWARDS CRNA
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
1367500000XCertified Registered Nurse Anesthetist95002475CA
2367500000XCertified Registered Nurse Anesthetist151670CA
3367500000XCertified Registered Nurse Anesthetist1075045TX

General Provider Information

NPI Number : 1487472577
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSS-ANDRE EDWARDS CRNA
Provider Business Mailing Address
First Line : 4301 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2214
Country : US
Telephone Number : 916-734-2011
Fax Number :
Provider Business Practice Location Address
First Line : 4301 X ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-2214
Country : US
Telephone Number : 916-734-2011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2024
Last Update Date : 05/13/2026

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