Edwards, Maureen Dawn Carol

Edwards, Maureen Dawn Carol is an individual health care provider with primary practice located at 13135 Us-50 Suite 201, Fairfax VA 22033. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Edwards, Maureen Dawn Carol can be contacted via phone (703) 391-0900.

Contact Information

Primary practice address
13135 Us-50 Suite 201 Fairfax VA 22033
Phone: (703) 391-0900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 604584 Texas
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 0021489007 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 604584 Texas

Profile Details

NPI number 1467547505
LBN Legal business name Edwards, Maureen Dawn Carol
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 20th, 2024 - about 6 months 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 1467547505 NPPES
Texas MEDICAID 288190601
Texas Other 288190602

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