Provider Demographics
NPI:1043882004
Name:EDWARDS, TRINITY RANA
Entity Type:Individual
Prefix:
First Name:TRINITY
Middle Name:RANA
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2664 TYRELL ST APT 2
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44509-1447
Mailing Address - Country:US
Mailing Address - Phone:330-314-8365
Mailing Address - Fax:
Practice Address - Street 1:2664 TYRELL ST APT 2
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44509-1447
Practice Address - Country:US
Practice Address - Phone:330-314-8365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-10
Last Update Date:2021-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide