Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9273213 | FL |
N | 363LP2300X | Nurse Practitioner - Primary Care | ARNP9273213 | FL |
NPI | 1043725286 |
---|---|
Provider Name | Lauren Margaret Edwards |
First Address | Ocala, FL 34480-8532 |
Second Address | Ocala, FL 34474-7422 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2017 |
Last Update Date | 21/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
ARNP9273213 | LICENSE (01) | FL |