MEDICARE: SHELDINE EDWARDS NP

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
1	363LF0000X	Family Nurse Practitioner	346154	NY
2	363LP2300X	Primary Care Nurse Practitioner	5017789	NC
3	363LF0000X	Family Nurse Practitioner	5017789	NC
4	163W00000X	Registered Nurse	633981	NY

General Provider Information

NPI Number	:	1952603441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELDINE EDWARDS NP

Provider Business Mailing Address
First Line	:	6010 E W T HARRIS BLVD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-4084
Country	:	US
Telephone Number	:	704-208-4134
Fax Number	:

Provider Business Practice Location Address
First Line	:	6010 E W T HARRIS BLVD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-4084
Country	:	US
Telephone Number	:	914-682-6540
Fax Number	:	914-682-6541

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/03/2010
Last Update Date	:	07/14/2025

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