Provider Demographics
NPI:1487951513
Name:EDWARDS, ANN MARIE L (RPA)
Entity type:Individual
Prefix:MS
First Name:ANN MARIE
Middle Name:L
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:134 BLACK OAK LN
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-1300
Mailing Address - Country:US
Mailing Address - Phone:978-957-6076
Mailing Address - Fax:603-898-3745
Practice Address - Street 1:134 BLACK OAK LN
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-1300
Practice Address - Country:US
Practice Address - Phone:978-957-6076
Practice Address - Fax:603-898-3745
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA02235243U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant