Provider Demographics
NPI:1033280342
Name:EDWARDS, MICHELLE L (DNP, FNP-BC, ACNP-BC)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:L
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:DNP, FNP-BC, ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 714
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77574-0714
Mailing Address - Country:US
Mailing Address - Phone:713-534-1718
Mailing Address - Fax:713-640-5213
Practice Address - Street 1:7324 SOUTHWEST FWY
Practice Address - Street 2:SUITE 885
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2012
Practice Address - Country:US
Practice Address - Phone:713-534-1718
Practice Address - Fax:713-640-5213
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX646117363LA2100X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care