Provider Demographics
NPI:1316581218
Name:EDWARDS, CATHERINE PAMELA (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:PAMELA
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7048 HIGHOVER CT S
Mailing Address - Street 2:
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-7569
Mailing Address - Country:US
Mailing Address - Phone:502-593-4574
Mailing Address - Fax:
Practice Address - Street 1:7048 HIGHOVER CT S
Practice Address - Street 2:
Practice Address - City:CHANHASSEN
Practice Address - State:MN
Practice Address - Zip Code:55317-7569
Practice Address - Country:US
Practice Address - Phone:502-593-4574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY30385207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology