Whalio Doctors

NPI 1154995645

Kelli R Ednie

Practitioner Licensed Practical Nurse Shiprock, NM

Practice location

Address
US Hwy 64 Old High School Rd, Shiprock, NM 87420-1199
Phone
(505) 368-5163
Fax
(505) 368-5502
Mailing address
PO Box 1199, Shiprock, NM 87420-1199

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence PN5237506 (FL)

Registry record

NPI
1154995645
Entity type
Individual
Sex (as registered)
Female
NPI issued
18 May 2021
Record last updated
18 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.