MRS. LATRICIA NIKIA EDWARDS C.R.N.P NPI 1861799983

NPI Information

NPI: 1861799983
Provider Name: MRS. LATRICIA NIKIA EDWARDS, C.R.N.P
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
20620 JOHN CARROLL BLVD STE 214
UNIVERSITY HEIGHTS, OH
ZIP 44118
Phone: (440) 622-7444
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MRS. Latricia Nikia Edwards, C.R.N.P is a psychiatric/mental health nurse practitioner in University Heights, OH. MRS. Latricia Nikia Edwards, C.R.N.P NPI is 1861799983. 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:

20620 JOHN CARROLL BLVD STE 214
UNIVERSITY HEIGHTS, OH
ZIP 44118-540
Phone: (440) 622-7444

The NPI 1861799983 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/25/2011 and was last updated on 12/15/2022.

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	363LP0200X	Nurse Practitioner	Pediatrics	1-101843	ALABAMA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	COA.11559-NP	OHIO	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN.CNP.11559	OHIO	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	0096291	MEDICAID	OHIO

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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