Patricia Anne Edwards, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

F303772 Issued in NY

Practice address

30 Bell Avenue
Brookhaven National Laboratory, Omc, BLDG. 490
Upton, NY 11973-5000

Phone

(631) 344-3670

Fax

(631) 344-7366

NPI assigned

Feb 17, 2011

Last updated

Feb 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1407153067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 HARVARD LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252527",
            "telephone_number": "631-344-3670",
            "fax_number": "631-344-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BELL AVENUE",
            "address_2": "BROOKHAVEN NATIONAL LABORATORY, OMC, BLDG. 490",
            "city": "UPTON",
            "state": "NY",
            "postal_code": "119735000",
            "telephone_number": "631-344-3670",
            "fax_number": "631-344-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PATRICIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookhaven Science Associates
• Carol Denise Davis, D.O., MSPH
• Eva Barbara Erens, M.D.
• Joseph P Falco, M.D.
• Fritz A. Henn, MD, PH.D

• Adult Health Nurse Practitioner in Upton, NY
• Providers in Upton, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.