Dedlow, Edna Rosellen

Dedlow, Edna Rosellen is an individual health care provider with primary practice located at 719 Green Valley Rd Ste 306 , Greensboro NC 27408-7026. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Dedlow, Edna Rosellen can be contacted via phone (336) 275-6470.

Contact Information

Primary practice address
719 Green Valley Rd Ste 306 Greensboro NC 27408-7026
Phone: (336) 275-6470
Fax: (336) 275-6474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 5007053 North Carolina

Profile Details

NPI number 1265474639
LBN Legal business name Dedlow, Edna Rosellen
Credentials MSN, PNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Aug 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265474639 NPPES
North Carolina MEDICAID 1265474639

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