Provider Demographics
NPI:1306347851
Name:EDWARDS, LENORA CHANTEL (DNP, APRN-C, CNL)
Entity type:Individual
Prefix:
First Name:LENORA
Middle Name:CHANTEL
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:DNP, APRN-C, CNL
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:CHANTEL
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DNP, APRN-C, CNL
Mailing Address - Street 1:2601 SW 3RD ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-2438
Mailing Address - Country:US
Mailing Address - Phone:785-354-5225
Mailing Address - Fax:
Practice Address - Street 1:2601 SW 3RD ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-2438
Practice Address - Country:US
Practice Address - Phone:785-354-5225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-77779-072363LP2300X
KS77779363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner