Provider Demographics
NPI:1174886451
Name:EDWARDS, MARY PRESSLEY (RN, DOULA)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:PRESSLEY
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:RN, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 FRENCH COLLINS RD
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-8171
Mailing Address - Country:US
Mailing Address - Phone:843-347-4913
Mailing Address - Fax:
Practice Address - Street 1:708 FRENCH COLLINS RD
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:SC
Practice Address - Zip Code:29526-8171
Practice Address - Country:US
Practice Address - Phone:843-347-4913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula