Edmundson, Courtney Renee

Edmundson, Courtney Renee is an individual health care provider with primary practice located at 3041 W Us Highway 36 , Pendleton IN 46064-9280. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Edmundson, Courtney Renee can be contacted via phone (765) 778-0000.

Contact Information

Primary practice address
3041 W Us Highway 36 Pendleton IN 46064-9280
Phone: (765) 778-0000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004242A Indiana

Profile Details

NPI number 1255675963
LBN Legal business name Edmundson, Courtney Renee
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2012
Last updated Jun 20th, 2022 - about 4 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 1255675963 NPPES
Indiana MEDICAID 201127790

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