National Provider Identifier Database

WANDA F EDWARDS, LPN – NPI #1477054849
Licensed Practical Nurse

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.


Contact Information

WANDA F EDWARDS, LPN
5666 LONGBOW DR
STONE MOUNTAIN, GA30087-5230
Phone: 954-305-1262
Fax:
Website:
Specialty Taxonomy Code
* Licensed Practical Nurse 164W00000X
Nursing Care 251J00000X
Respite Care 385H00000X
Technician, Health Information 247000000X

* Indicates primary specialty

NPI Profile & details for WANDA F EDWARDS

NPI Number 1477054849
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 02/21/2018
Last updated 05/05/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • FL License #: PN5196378
  • GA License #: LPN090419
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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