Edison, Carolyn Elizabeth

Edison, Carolyn Elizabeth is an individual health care provider with primary practice located at 1 Hospital Dr , Columbia MO 65212-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Edison, Carolyn Elizabeth can be contacted via phone (573) 882-2273.

Contact Information

Primary practice address
1 Hospital Dr Columbia MO 65212-0001
Phone: (573) 882-2273
Fax: (573) 884-4609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 063452 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 063452 Missouri

Profile Details

NPI number 1255397568
LBN Legal business name Edison, Carolyn Elizabeth
Credentials APRN,BC,
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 15th, 2012 - about 12 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 1255397568 NPPES
Kansas MEDICAID 100415160A
Kansas MEDICAID 423315308

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