Edwards, Miranda Nicole
Edwards, Miranda Nicole is an individual health care provider with primary practice located at 710 Wellington Ave , Grand Junction CO 81501-6123. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Edwards, Miranda Nicole can be contacted via phone (970) 298-6601.Contact Information
Primary practice address
710 Wellington Ave
Grand Junction CO 81501-6123
Phone: (970) 298-6601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 125.063393 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 125.063393 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 0059094 | Colorado |
Profile Details
| NPI number | 1215376710 |
|---|---|
| LBN Legal business name | Edwards, Miranda Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 18th, 2013 |
| Last updated | Jan 18th, 2021 - about 5 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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