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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1346241262 NPPES
Oregon MEDICAID 269505

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