Provider Demographics
NPI:1538405980
Name:EDWARDS, FELICIA S (APRN)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:S
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 PEERLESS AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-2841
Mailing Address - Country:US
Mailing Address - Phone:330-620-0460
Mailing Address - Fax:
Practice Address - Street 1:960 PEERLESS AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-2841
Practice Address - Country:US
Practice Address - Phone:330-620-0460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-12
Last Update Date:2023-06-14
Deactivation Date:2015-05-27
Deactivation Code:
Reactivation Date:2019-10-03
Provider Licenses
StateLicense IDTaxonomies
OHRN.401553163W00000X
OHAPRN.CNP.0033481363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse