Provider Demographics
NPI:1598025413
Name:EDWARDS, MARIA CAROLYN (RN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CAROLYN
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4702 CHRISTIANA MDWS
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-2892
Mailing Address - Country:US
Mailing Address - Phone:302-324-1091
Mailing Address - Fax:
Practice Address - Street 1:4702 CHRISTIANA MDWS
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-2892
Practice Address - Country:US
Practice Address - Phone:302-324-1091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2012-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN543933163W00000X
DEL1-0017520163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse