Edwards, Renee
Edwards, Renee is an individual health care provider with primary practice located at 656 Nw Mirador Pl , Corvallis OR 97330-4698. 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, Renee can be contacted via phone (541) 624-2040.Contact Information
Primary practice address
656 Nw Mirador Pl
Corvallis OR 97330-4698
Phone: (541) 624-2040
Fax: (503) 200-2258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200450130NP | Oregon |
Profile Details
| NPI number | 1346241262 |
|---|---|
| LBN Legal business name | Edwards, Renee |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2005 |
| Last updated | Mar 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346241262 | NPPES |
| Oregon | MEDICAID | 269505 |
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