Doctor Name: | ANN MARIE EDSON |
NPI Number: | 1013139955 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NURSE PRACTITIONER |
License Number: | F340239 |
Business Practice Address: | 2 Brian Way Maynard, MA - 017540000 |
Business Phone Number: | 9782985323 |
Business Fax Number: | |
Mailing Address: | 2 Brian Way, MAYNARD |
State: | MA |
Postal Code: | 017540000 |
Phone Number: | 9782985323 |
Fax Number: | |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | F340239 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |