Provider Demographics
NPI:1144928268
Name:EDWARDS, NADASHA C
Entity type:Individual
Prefix:
First Name:NADASHA
Middle Name:C
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30924 CHEROKEE AVE
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-9038
Mailing Address - Country:US
Mailing Address - Phone:352-973-5285
Mailing Address - Fax:
Practice Address - Street 1:30924 CHEROKEE AVE
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-9038
Practice Address - Country:US
Practice Address - Phone:352-973-5285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-17
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health