Provider Demographics
NPI:1780972828
Name:EDWARDS, MICHELLE CHRISTINE (MS, CRNA)
Entity type:Individual
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First Name:MICHELLE
Middle Name:CHRISTINE
Last Name:EDWARDS
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Gender:F
Credentials:MS, CRNA
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Mailing Address - Street 1:1701 BEARDEN DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89106-4189
Mailing Address - Country:US
Mailing Address - Phone:702-310-9110
Mailing Address - Fax:702-310-9114
Practice Address - Street 1:1701 BEARDEN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4189
Practice Address - Country:US
Practice Address - Phone:702-310-9110
Practice Address - Fax:702-310-9114
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2016-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVCRNA000387367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered