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EDWINA LYNETTE BERRY FNP

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Adult Health

Provider NPI: 1053689505

Provider Information:
 EDWINA LYNETTE BERRY FNP
Gender: F
Sole Proprietor

Practice Location:
1309 N ELM ST  GREENSBORO, NC 27401-1005 US
Tel: 336-544-5400  Fax: 336-544-5401

Business Mailing Address:
1309 N ELM ST  GREENSBORO, NC 27401-1005 US
Tel: 336-544-5400  Fax: 336-544-5401

NPI Information:
NPI: 1053689505
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Adult Health
NC5005447

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 363LA2200X

Type:

Classification:



Definition:



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