Dora Cynthia Edwards, RN
Individual provider Active NPI General Practice Registered Nurse · Acton, CA
NPI 1962925008 · NPPES record last updated Jul 20, 2017
Key facts
- NPI
- 1962925008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 441071 (CA)
- Practice address
- 30500 Arrastre Canyon Rd
Acton, CA 93510-2160 - Phone
- (661) 223-8710
- Fax
- (661) 269-9156
- NPI assigned
- Jul 20, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 441071 | CA | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 441071 | CA | Yes |
Addresses
Primary practice location
30500 Arrastre Canyon Rd
Acton, CA 93510-2160
Mailing address
30500 Arrastre Canyon Rd
Acton, CA 93510-2160
Phone (661) 223-8710
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All providers in Acton, CA · General Practice Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.