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EDWFNP NPI 1871234237


NPI Information

NPI: 1871234237
Provider Name: EDWFNP

Doing Business As: DRUID CITY WELLNESS CENTER

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
653 HELEN KELLER BLVD
TUSCALOOSA, AL
ZIP 35404
Phone: (205) 301-0769
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EDWFNP is a psychiatric/mental health nurse practitioner in Tuscaloosa, AL. EDWFNP NPI is 1871234237. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Druid City Wellness Center.

The provider's business location address is:

653 HELEN KELLER BLVD
TUSCALOOSA, AL
ZIP 35404-983
Phone: (205) 301-0769
Fax: (205) 272-5789

The provider's authorized official is Ella Williamson .
The authorized official title is Pmhnp and has the following contact phone number (205) 391-7534.

The enumeration date for this NPI number is 4/7/2022 and was last updated on 5/9/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11-090748OTHERALABAMAALABAMA BOARD OF NURSING CERTIFIED REGISTERED NURSE PRACTITIONER (CRNP) LICENSE
21-090748OTHERALABAMAALABAMA BOARD OF NURSING REGISTERED NURSE (RN) LICENSE NUMBER

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

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