Provider Demographics
NPI:1558759225
Name:EDWARDS, NEDRA M (APRN)
Entity type:Individual
Prefix:
First Name:NEDRA
Middle Name:M
Last Name:EDWARDS
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 S KEELER AVE
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74003-6623
Mailing Address - Country:US
Mailing Address - Phone:918-332-3640
Mailing Address - Fax:183-336-0985
Practice Address - Street 1:310 S KEELER AVE
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74003-6623
Practice Address - Country:US
Practice Address - Phone:918-332-3640
Practice Address - Fax:918-336-0985
Is Sole Proprietor?:No
Enumeration Date:2015-01-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK68861363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner