Brittany Iresha Edwards, CNM, WHNP | |
36065 Santa Fe Ave, Fort Hood, TX 76544 | |
(254) 288-8000 | |
(830) 315-1366 |
Full Name | Brittany Iresha Edwards |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 36065 Santa Fe Ave, Fort Hood, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164880829 | NPI | - | NPPES |
374234801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LW0102X | Nurse Practitioner - Women's Health | AP130255 (Texas) | Secondary |
367A00000X | Advanced Practice Midwife | AP130255 (Texas) | Primary |
Entity Name | Peterson Medical Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770800575 PECOS PAC ID: 1355467887 Enrollment ID: O20100922000142 |
Mailing Address | Practice Location Address |
---|---|
Brittany Iresha Edwards, CNM, WHNP 36065 Santa Fe Ave, Fort Hood, TX 76544 Ph: (254) 288-8000 | Brittany Iresha Edwards, CNM, WHNP 36065 Santa Fe Ave, Fort Hood, TX 76544 Ph: (254) 288-8000 |
Evelyn M. Simmons, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 36000 Darnall Loop, Fort Hood, TX 76544 Phone: 254-288-8000 | |
Mrs. Leslie Susan Rendeiro, RN, MSN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 36000 Darnall Loop, Attn: Credentials (cmc), Fort Hood, TX 76544 Phone: 254-288-8387 |