Provider Demographics
NPI:1366871865
Name:EDWARDS, KARLA (ARNP, FNP-C)
Entity type:Individual
Prefix:MS
First Name:KARLA
Middle Name:
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7147 VISTA DR STE 150
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-9313
Mailing Address - Country:US
Mailing Address - Phone:515-875-9925
Mailing Address - Fax:515-875-9923
Practice Address - Street 1:1410 SW TRADITION DR STE 110
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023
Practice Address - Country:US
Practice Address - Phone:515-875-9696
Practice Address - Fax:515-875-9697
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3211442363LF0000X
NDR42372363LF0000X
IAA147947363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01380420OtherRAILROAD MEDICARE TO GROUP CH7540
FL012739500Medicaid
FLY0MU2OtherBCBS
FLP01380420OtherRAILROAD MEDICARE TO GROUP CH7540