KATINA DENEEN EDWARDS NP NPI 1568810117

NPI Information

NPI: 1568810117
Provider Name: KATINA DENEEN EDWARDS, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2372 MORSE AVE # 1090
IRVINE, CA
ZIP 92614
Phone: (310) 345-0101
Get Directions

Katina Deneen Edwards, NP is a psychiatric/mental health nurse practitioner in Irvine, CA. Katina Deneen Edwards, NP NPI is 1568810117. 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:

2372 MORSE AVE # 1090
IRVINE, CA
ZIP 92614-234
Phone: (310) 345-0101
Fax: (949) 681-3501

The enumeration date for this NPI number is 5/24/2016 and was last updated on 2/20/2024.

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	163W00000X	Registered Nurse		744354	CALIFORNIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95025093	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1568810117	MEDICAID	CALIFORNIA

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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