MRS. EBONY ANNA EDOUARD FNP NPI 1114482452

NPI Information

NPI: 1114482452
Provider Name: MRS. EBONY ANNA EDOUARD, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
529 COURTLANDT AVE
BRONX, NY
ZIP 10451
Phone: (718) 542-0255
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MRS. Ebony Anna Edouard, FNP is a family nurse practitioner in Bronx, NY. MRS. Ebony Anna Edouard, FNP NPI is 1114482452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

529 COURTLANDT AVE
BRONX, NY
ZIP 10451-007
Phone: (718) 542-0255

The NPI 1114482452 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/31/2019 and was last updated on 12/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	349869	NEW YORK	Yes
2	163WC1500X	Registered Nurse	Community Health	629854	NEW YORK	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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