NPI 1417338302

Tiena Nichole Edwards

Practitioner Adult Companion Clinton, MD

Practice location

Address: 8604 Woodyard Rd, Clinton, MD 20735
Phone: (202) 421-0424
Mailing address: 8604 Woodyard Rd., Clinton, MD 20735

Registered specialties

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Registry record

NPI: 1417338302
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jun 2015
Record last updated: 16 Jun 2015

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.