Provider Demographics
NPI:1255975462
Name:EDNEY, TIMIKA SHAREE (ARRT R)
Entity type:Individual
Prefix:MS
First Name:TIMIKA
Middle Name:SHAREE
Last Name:EDNEY
Suffix:
Gender:F
Credentials:ARRT R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 GOLF RD
Mailing Address - Street 2:
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-1313
Mailing Address - Country:US
Mailing Address - Phone:484-472-2375
Mailing Address - Fax:
Practice Address - Street 1:28 GOLF RD
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-1313
Practice Address - Country:US
Practice Address - Phone:484-472-2375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA06150340128OtherAHA-BLS/CPR/AED/FIRST AID INSTRUCTOR