Edwards, Suzan Tamesha
Edwards, Suzan Tamesha is an sole proprietor health care provider with primary practice located at 507 Ventura Ave , Gillette WY 82716-2292. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty.Contact Information
Primary practice address
507 Ventura Ave
Gillette WY 82716-2292
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | 48988 | Wyoming |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 48988 | Wyoming |
Profile Details
| NPI number | 1740742006 |
|---|---|
| LBN Legal business name | Edwards, Suzan Tamesha |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 4th, 2019 |
| Last updated | Nov 6th, 2023 - about 2 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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