Provider Demographics
NPI:1336909266
Name:EDWARDS, UNOE RENA (CNA)
Entity type:Individual
Prefix:
First Name:UNOE
Middle Name:RENA
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:UNOE
Other - Middle Name:
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:715 E IDAHO AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88001-4703
Mailing Address - Country:US
Mailing Address - Phone:575-265-7577
Mailing Address - Fax:505-444-6495
Practice Address - Street 1:715 E IDAHO AVE STE 6
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-4703
Practice Address - Country:US
Practice Address - Phone:575-265-7577
Practice Address - Fax:505-444-6495
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-19
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2023457P374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide