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Lisa Ann Edwards, PPCNP-BC
Pediatric Nurse Practitioner in Cave Junction, Oregon
NPI 1588151567

Lisa Ann Edwards is a Pediatric Nurse Practitioner based in Cave Junction, OR and is specialized in Pediatrics. Lisa Ann Edwards practices in Cave Junction, OR and has the professional credentials of PPCNP-BC. The NPI Number for Lisa Ann Edwards is 1588151567 and holds a License No. 201801351NP-PP (Oregon).

The current practice location address for Lisa Ann Edwards is 25647 Redwood Hwy, Cave Junction, OR and can be reached out via phone at 541-500-8407.

Location: 25647 Redwood Hwy, Cave Junction, OR, 97523-9332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588151567
Provider Name
Lisa Ann Edwards
Credential
PPCNP-BC
Provider Entity Type
Individual
Gender
Female
Address
25647 Redwood Hwy, Cave Junction, OR, 97523-9332
Phone Number
541-500-8407
Fax Number
Provider Enumeration Date
04/16/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500743373 05 OR
institution
Provider Business Practice Location Address Details
Address
25647 Redwood Hwy
City
Cave Junction
State
Oregon
Zip
97523-9332
Phone Number
541-500-8407
Fax Number
person
Provider Business Mailing Address Details
Address
25647 Redwood Hwy
City
Cave Junction
State
Oregon
Zip
97523-9332
Phone Number
541-500-8407
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
201801351NP-PP (Oregon)
Definition
Definition to come...
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