Provider Demographics
NPI:1629208285
Name:EDWARDS, ARLENE ANN-MARIE (RN)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:ANN-MARIE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ARLENE
Other - Middle Name:ANN-MARIE
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14631 231ST ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-4427
Mailing Address - Country:US
Mailing Address - Phone:347-548-4157
Mailing Address - Fax:347-548-4157
Practice Address - Street 1:14631 231ST ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-4427
Practice Address - Country:US
Practice Address - Phone:347-548-4157
Practice Address - Fax:347-548-4157
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY556870163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse