Provider Demographics
NPI:1730888728
Name:EDWARDS, TAMARRA ANN-MARIE (APRN)
Entity type:Individual
Prefix:MS
First Name:TAMARRA
Middle Name:ANN-MARIE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:TAMARRA
Other - Middle Name:
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:1368 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4734
Mailing Address - Country:US
Mailing Address - Phone:954-594-6677
Mailing Address - Fax:
Practice Address - Street 1:1368 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4734
Practice Address - Country:US
Practice Address - Phone:954-368-8847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11024626207QG0300X, 363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology