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NPI Code Detail

MEDICARE: MRS. SHARON EDWARDS ARNP,CS

MEDICARE:  MRS. SHARON  EDWARDS  ARNP,CS
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
1364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist4296SKY
2364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist0024174312VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000371930OTHERBCBS CKBH
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31211023OTHERCHA CKBH
4P00295305OTHERRAILROAD MED. CKBH

General Provider Information

NPI Number : 1972571867
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARON EDWARDS ARNP,CS
Provider Business Mailing Address
First Line : P O BOX 23823
Second Line :
City : LEXINGTON
State : KY
Zip : 40523
Country : US
Telephone Number : 859-278-8772
Fax Number : 859-422-4361
Provider Business Practice Location Address
First Line : 2901 S LYNNHAVEN RD STE 450
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23452-8524
Country : US
Telephone Number : 757-536-2246
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 05/19/2023

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