Provider Demographics
NPI:1205468162
Name:EDWARDS, ERIN LEIGH (APRN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:LEIGH
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3980 HIGHWAY 9 E STE 310
Mailing Address - Street 2:
Mailing Address - City:LITTLE RIVER
Mailing Address - State:SC
Mailing Address - Zip Code:29566-8165
Mailing Address - Country:US
Mailing Address - Phone:843-399-9774
Mailing Address - Fax:
Practice Address - Street 1:3980 HIGHWAY 9 E STE 310
Practice Address - Street 2:
Practice Address - City:LITTLE RIVER
Practice Address - State:SC
Practice Address - Zip Code:29566-8165
Practice Address - Country:US
Practice Address - Phone:843-399-9774
Practice Address - Fax:843-399-8657
Is Sole Proprietor?:No
Enumeration Date:2020-02-10
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23624363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care