Provider Demographics
NPI:1386536167
Name:EDWARDS, RYLEIGH RENE (PA-C)
Entity type:Individual
Prefix:
First Name:RYLEIGH
Middle Name:RENE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7015 US 31 STE B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-8619
Mailing Address - Country:US
Mailing Address - Phone:317-300-1008
Mailing Address - Fax:317-300-1792
Practice Address - Street 1:7015 US 31 STE B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-8619
Practice Address - Country:US
Practice Address - Phone:317-300-1008
Practice Address - Fax:317-300-1792
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INME0069410363A00000X
IN10005063B363A00000X
IN10005063A363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant