Edmunds, Dena

Edmunds, Dena is an individual health care provider with primary practice located at 112 W D St Suite 210-A, Pueblo CO 81003-3461. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Edmunds, Dena can be contacted via phone (719) 543-7877.

Contact Information

Primary practice address
112 W D St Suite 210-A Pueblo CO 81003-3461
Phone: (719) 543-7877
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 540657 Missouri

Profile Details

NPI number 1740248079
LBN Legal business name Edmunds, Dena
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Dec 13th, 2015 - about 9 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 1740248079 NPPES
Missouri MEDICAID 916019417
Missouri MEDICAID 100449260B

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