Lisa Edwards, - Licensed Practical Nurse in Fayetteville, WV

Lisa Edwards, is a Licensed Practical Nurse based in Fayetteville, West Virginia. Lisa Edwards is licensed to practice in West Virginia (license number 35564) and her current practice location is 5447 Maple Ln Ste A, Fayetteville, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 573-6120.

NPI number for Lisa Edwards is 1710742911 and her current mailing address is 5447 Maple Ln Ste A, Fayetteville, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710742911.

Contact Information

Lisa Edwards,
5447 Maple Ln Ste A,
Fayetteville, WV 25840-6872
(304) 573-6120
Not Available



Provider's Profile

Full NameLisa Edwards
GenderFemale
SpecialityLicensed Practical Nurse
Location5447 Maple Ln Ste A, Fayetteville, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710742911
  • Provider Enumeration Date: 02/16/2024
  • Last Update Date: 02/16/2024

Medical Identifiers

Medical identifiers for Lisa Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710742911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 35564 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa Edwards is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa Edwards,
5447 Maple Ln Ste A,
Fayetteville, WV 25840-6872

Ph: (304) 573-6120
Lisa Edwards,
5447 Maple Ln Ste A,
Fayetteville, WV 25840-6872

Ph: (304) 573-6120

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Licensed Practical Nurse Nurses in Fayetteville, WV

Carissa Pierson,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5447 Maple Ln Ste A, Fayetteville, WV 25840
Phone: 304-574-1411    

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