Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALISSA EDWARDS
ActiveMALISSA EDWARDS is a 163WM1400X healthcare provider located in BRENTWOOD, California. NPI 1902488463 is currently active in the NPPES registry. Verify at CMS.
163WM1400X · BRENTWOOD, CA
Registration Details
- NPI Number
- 1902488463
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2021 (5.3485414493179 yrs)
- Last Updated
- Apr 24, 2021
- License
-
72756 (CA)
Practice Information
- Address
-
1700 TRILOGY PKWYBRENTWOOD, CA, 945136731Browse CA providers · Browse ZIP 94513
- Phone
- 9258097171
- Primary Specialty
-
163WM1400X
163WM1400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.