Lisa Edwards, is a
Licensed Practical Nurse based in Fayetteville, West Virginia. Lisa Edwards is licensed to practice in West Virginia (license number 35564) and her current practice location is
5447 Maple Ln Ste A, Fayetteville, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 573-6120.
NPI number for Lisa Edwards is 1710742911 and her current mailing address is 5447 Maple Ln Ste A, Fayetteville, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710742911.
Provider's Profile
Full Name | Lisa Edwards |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 5447 Maple Ln Ste A, Fayetteville, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710742911
- Provider Enumeration Date: 02/16/2024
- Last Update Date: 02/16/2024
Medical Identifiers
Medical identifiers for Lisa Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710742911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 35564 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Edwards is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa Edwards, 5447 Maple Ln Ste A, Fayetteville, WV 25840-6872 Ph: (304) 573-6120 | Lisa Edwards, 5447 Maple Ln Ste A, Fayetteville, WV 25840-6872 Ph: (304) 573-6120 |
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