NIELLY TRACY EDWARDS ARNP-BC NPI 1821572058

NPI Information

  • NPI: 1821572058
  • Provider Name: NIELLY TRACY EDWARDS, ARNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2114 NW 49TH AVE
    COCONUT CREEK, FL
    ZIP 33063
  • Phone: (954) 988-0979

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NPI Details

Nielly Tracy Edwards, ARNP-BC is a family nurse practitioner in Coconut Creek, FL with 9 years of experience. Nielly Tracy Edwards, ARNP-BC NPI is 1821572058. 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:

2114 NW 49TH AVE
COCONUT CREEK, FL
ZIP 33063-718
Phone: (954) 988-0979

The NPI 1821572058 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 9/24/2018 and was last updated on 4/18/2022.

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
1363LF0000XNurse PractitionerFamilyARNP9344860FLORIDAYes

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: 11/21/2025

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