Provider Demographics
NPI:1477975365
Name:EDWARDS, DELINDA
Entity type:Individual
Prefix:
First Name:DELINDA
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2241 PATROIC LANE
Mailing Address - Street 2:
Mailing Address - City:LASVEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032
Mailing Address - Country:US
Mailing Address - Phone:702-376-9670
Mailing Address - Fax:
Practice Address - Street 1:2241 PATROIC LANE
Practice Address - Street 2:
Practice Address - City:LASVEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-4834
Practice Address - Country:US
Practice Address - Phone:702-376-9670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-10
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker