| Doctor Name: | MS. ANDREA MARIE EDWARDS |
| NPI Number: | 1033427588 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 0110003405 |
| Business Practice Address: | 1051 Loftis Blvd Suite 100 Newport News, VA - 236063069 |
| Business Phone Number: | 7578739400 |
| Business Fax Number: | 7578739420 |
| Mailing Address: | 5900 Lake Wright Dr, NORFOLK |
| State: | VA |
| Postal Code: | 235021871 |
| Phone Number: | 7574668683 |
| Fax Number: | 7574668892 |
| NPI Enumeration Date: | 09/17/2010 |
| NPI Last Update Date: | 09/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0110003405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |