Clyde Robert Edwards in Winston Salem - Nurse Anesthetist, Certified Registered
Clyde Robert Edwards - NPI 1710099072
Clyde Robert Edwards is a Nurse Anesthetist, Certified Registered in Winston Salem, North Carolina. Clyde Robert Edwards practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Clyde Robert Edwards is 1710099072. The last update date is 2019-03-18.
Clyde Robert Edwards's current location address is 145 Kimel Park Dr Ste 120, Winston Salem, North Carolina. You can contact this provider via phone number 3367683212 and fax number 3367689019. The mailing address for Clyde Robert Edwards is 145 Kimel Park Dr Ste 120, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde Robert Edwards |
|---|---|
| Address | 145 Kimel Park Dr Ste 120, Winston Salem, North Carolina |
| Phone Number | 3367683212 |
| Fax Number | 3367689019 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1710099072 |
|---|---|
| Provider Enumeration Date | 2006-08-31 |
| Last Updated Date | 2019-03-18 |
Provider Mailing Address Detail
| Address | 145 Kimel Park Dr Ste 120 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271036983 |
| Phone Number | 3367683212 |
| Fax Number | 3367689019 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | 74662 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8049968 | NC | -- | |
| P00193645 | RR MEDICARE |
Post Comment/ Review Below
What is the Clyde Robert Edwards's unique identification number?
The Clyde Robert Edwards has been assigned the NPI (National Provider Identifier) Number 1710099072 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Clyde Robert Edwards is physically located?
The Clyde Robert Edwards is physically situated at the following address: 145 Kimel Park Dr Ste 120, Winston Salem, NC, 271036983.
What is Clyde Robert Edwards's specialized field of practice, and what is the corresponding taxonomy classification code?
The Clyde Robert Edwards's area of specialization is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code that categorizes this field of practice is 367500000X.
On what date did the Clyde Robert Edwards receive the assignment of its 1710099072 from the Centers for Medicare & Medicaid Services?
The Clyde Robert Edwards was issued its 1710099072 by the Centers for Medicare & Medicaid Services on 2006-08-31.
As of what date were the details related to Clyde Robert Edwards most recently updated or revised?
The information pertaining to Clyde Robert Edwards, including its address, specialty, and other relevant details, was last updated or revised on 2019-03-18.
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