Edwards, Bethany Roxanna

Edwards, Bethany Roxanna is an individual health care provider with primary practice located at 7055 Glen Oaks Dr , Baton Rouge LA 70812-1832. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Edwards, Bethany Roxanna can be contacted via phone (225) 355-7284.

Contact Information

Primary practice address
7055 Glen Oaks Dr Baton Rouge LA 70812-1832
Phone: (225) 355-7284
Fax: (225) 356-1616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5006091 North Carolina

Profile Details

NPI number 1235279795
LBN Legal business name Edwards, Bethany Roxanna
Credentials MSN, BC, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 22nd, 2016 - about 8 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 1235279795 NPPES
Louisiana MEDICAID 1682349

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