Edwards, Diana Victoria

Edwards, Diana Victoria is an individual health care provider with primary practice located at 500 N 5Th St , Hot Springs SD 57747-1480. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Edwards, Diana Victoria can be contacted via phone (605) 745-2000.

Contact Information

Primary practice address
500 N 5Th St Hot Springs SD 57747-1480
Phone: (605) 745-2000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A-006174 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CP000528 South Dakota

Profile Details

NPI number 1992769764
LBN Legal business name Edwards, Diana Victoria
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Apr 11th, 2008 - about 16 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 1992769764 NPPES
Iowa MEDICAID 1024414

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