IndividualActive
Fredric Edwards, RN
NPI 1306396015 · Case Management Registered Nurse · Gallup, NM
Provider details
- NPI number
- 1306396015
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 725470 (TX)
Mailing address
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Registry dates
- Enumerated
- 2016-10-05
- Last updated
- 2016-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.