Provider Demographics
NPI:1609908078
Name:PERFILIO EDWARDS, ADRIENNE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:ELIZABETH
Last Name:PERFILIO EDWARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ADRIENNE
Other - Middle Name:ELIZABETH
Other - Last Name:PERFILIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5113 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68132-2241
Mailing Address - Country:US
Mailing Address - Phone:937-867-5052
Mailing Address - Fax:
Practice Address - Street 1:6829 N 72ND ST
Practice Address - Street 2:SUITE 4500
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1723
Practice Address - Country:US
Practice Address - Phone:402-572-3790
Practice Address - Fax:402-572-3779
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57-012251207V00000X
NE25860207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE098684Medicare PIN