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NPI Code Detail

MEDICARE: MARY KATHRYN EDWARDS MS CRNA

MEDICARE: MARY KATHRYN EDWARDS MS 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 AnesthetistAP60929531WA

General Provider Information

NPI Number : 1659843456
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY KATHRYN EDWARDS MS CRNA
Provider Business Mailing Address
First Line : 101 60TH PL SE
Second Line :
City : EVERETT
State : WA
Zip : 98203-3471
Country : US
Telephone Number : 202-597-4693
Fax Number :
Provider Business Practice Location Address
First Line : 1100 9TH AVE
Second Line : B2-AN
City : SEATTLE
State : WA
Zip : 98101-2756
Country : US
Telephone Number : 206-223-6980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2018
Last Update Date : 12/16/2025

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