Provider Demographics
NPI:1497640734
Name:EDWARDS, MAGAN LASHEAL (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:MAGAN
Middle Name:LASHEAL
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:MAGAN
Other - Middle Name:LASHEAL
Other - Last Name:GUINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, FNP-C
Mailing Address - Street 1:323 MEDICAL CENTER DR SW
Mailing Address - Street 2:
Mailing Address - City:FORT PAYNE
Mailing Address - State:AL
Mailing Address - Zip Code:35968-3420
Mailing Address - Country:US
Mailing Address - Phone:256-273-4300
Mailing Address - Fax:256-979-1017
Practice Address - Street 1:323 MEDICAL CENTER DR SW
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35968-3420
Practice Address - Country:US
Practice Address - Phone:256-273-4300
Practice Address - Fax:256-979-1017
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-142022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily