Provider Demographics
NPI:1447428495
Name:EDMONDSON, DAREE VONSHA
Entity Type:Individual
Prefix:
First Name:DAREE
Middle Name:VONSHA
Last Name:EDMONDSON
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 1:3467 FALLING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-9084
Mailing Address - Country:US
Mailing Address - Phone:252-686-6025
Mailing Address - Fax:
Practice Address - Street 1:3467 FALLING CREEK RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-9084
Practice Address - Country:US
Practice Address - Phone:252-686-6025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care