| Doctor Name: | MS. MIRIAM EDOUARD |
| NPI Number: | 1043355837 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP-BC |
| License Number: | 0024171671 |
| Business Practice Address: | 9300 Dewitt Loop Warrior Pavilion Bldg 808 Fort Belvoir, VA - 220605285 |
| Business Phone Number: | 7088059303 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1116, ALEXANDRIA |
| State: | VA |
| Postal Code: | 223131116 |
| Phone Number: | 7088059303 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 06/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 0024171671 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |