MARY DALE EDWARDS (NPI# 1437579083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437579083 |
| Entity Type | Individual |
| Full Name | MARY DALE EDWARDS |
| Other Name | MARY IBARRA |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
912 Inlet Square Dr Murrells Inlet SC 29576-7812 |
| Mailing Address |
201 Sigma Dr Ste 100 Summerville SC 29486-7722 |
| Practice Telephone | 8436514111 |
| Practice Fax Number | 8436511047 |
| Mailing Telephone | 8436956071 |
| Mailing Fax Number | 8435695879 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2018-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 95980 | SC | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20030 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP4124 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477015659 | Mary Katherine Edwards | Dentist | 235 St John Rd Ste 110, Fletcher, NC 28732-8334 | 2019-04-04 |
| 1346630530 | Mary Louise Edwards | Counselor | 6133 Sutter Loop East, Owensboro, KY 42303 | 2015-01-27 |
| 1265854210 | Mary Edwards | Dentist | 105 West 14th Ave, Gulf Shores, AL 36542 | 2014-01-10 |
| 1093064792 | Mary C Edwards | Occupational Therapy Assistant | 1168 S Montclair Dr, Pueblo West, CO 81007-2650 | 2012-09-10 |
| 1174886451 | Mary Pressley Edwards | Doula | 708 French Collins Rd, Conway, SC 29526-8171 | 2012-06-21 |
| 1558665042 | Mary Edwards | Occupational Therapist | 6539 Springpath Ln, San Jose, CA 95120-4548 | 2010-12-27 |
| 1154624492 | Mary Lee Edwards | Nurse Practitioner | 56 Carl Russell St, Hustonville, KY 40437-8006 | 2010-12-08 |
| 1578872636 | Mary Alice Edwards | Occupational Therapist | 379 Mount Hope Rd, Middletown, NY 10940 | 2010-10-06 |
| 1205155686 | Mary M Edwards | Dentist | 1242 N Cleveland Ave, Loveland, CO 80537-4725 | 2010-05-24 |
| 1568499507 | Mary Michelle Edwards | Specialist/Technologist | 2207 Sutters Mill Ln, Knoxville, TN 37909-2778 | 2006-06-26 |
| Street Address |
912 INLET SQUARE DR |
| City | MURRELLS INLET |
| State | SC |
| Zip Code | 29576-7812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184190530 | Palmetto Primary Care Physicians | Family Medicine | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2018-10-23 |
| 1114450657 | Lynn A. Leclerc | Nurse Practitioner | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2017-04-11 |
| 1356708739 | Foster Orthodontics Pa | Dentist | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2016-01-15 |
| 1235501743 | Instride Foot and Ankle Specialists, Pllc | Podiatrist | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2015-10-23 |
| 1861890477 | Catherine Smith Gallier | Nurse Practitioner | 912 Inlet Square Dr, Murrells Inlet, SC 29576 | 2014-12-12 |
| 1053716282 | Roper Saint Francis Physicians Network | Internal Medicine | 912 Inlet Square Dr, Suite A, Murrells Inlet, SC 29576-7812 | 2014-10-30 |
| 1063837870 | South Carolina Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2014-03-03 |
| 1306197389 | Murrells Inlet Dental Group, LLC | Dentist | 912 Inlet Square Dr, Murrells Inlet, SC 29576-7812 | 2012-10-01 |
| 1871865923 | Roper Saint Francis Physicians Network | Clinical Medical Laboratory | 912 Inlet Square Dr, Suite B, Murrells Inlet, SC 29576 | 2012-02-06 |
| 1750653325 | Roper Saint Francis Physicians Network | Durable Medical Equipment & Medical Supplies | 912 Inlet Square Dr, Suite A, Murrells Inlet, SC 29576 | 2012-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619577665 | Mobilityworks, LLC | Durable Medical Equipment & Medical Supplies | 11816 Frontage Rd., Murrells Inlet, SC 29576 | 2020-10-29 |
| 1457986267 | Seaside Eye Associates South LLC | Optometrist | 640 Morse Ave, Unit 11, Murrells Inlet, SC 29576 | 2020-03-12 |
| 1710443833 | Sirach Health Professional Limited Liability Company | Physical Medicine & Rehabilitation | 4070 Us Highway 17 Bypass South, Murrells Inlet, SC 29576 | 2019-02-13 |
| 1801350871 | Doctors Care, P.a. | Emergency Medicine | 12015 Highway 707, Murrells Inlet, SC 29576 | 2019-01-24 |
| 1568949154 | Melanie Lewis | Physical Therapist | 2586 Hwy 17 Business S, Murrells Inlet, SC 29576 | 2018-07-26 |
| 1528550035 | Lauren Munck | Family Medicine | Tidelands Waccamaw Community Hospital, 4070 Highway 17, Murrells Inlet, SC 29576 | 2018-05-31 |
| 1003312521 | Myrtle Beach Rehabilitation Hospital, LLC | Rehabilitation Hospital | 4070 Hwy 17 Bypass South, Murrells Inlet, SC 29576 | 2018-04-03 |
| 1467952218 | Jamaica E Alston | Student in an Organized Health Care Education/Training Program | 14 Ambassador Lane, Murrells Inlet, SC 29576 | 2018-02-19 |
| 1891209227 | Caleb Sims Whitney | Physical Medicine & Rehabilitation | 10800 Sc 707, Murrells Inlet, SC 29576 | 2017-11-21 |
| 1043720964 | Chartwell Durable Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 671 Jamestown Drive, Suite 104, Murrells Inlet, SC 29576 | 2017-10-05 |
| Find all providers in zip 29576 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352149 | Roxanne N Altman | Nurse Practitioner | 407 Vereen Rd, Murrells Inlet, SC 29576-7710 | 2018-04-02 |
| 1043729106 | Danielle Karin Brown | Nurse Practitioner | 496 Hammock Ave, Murrells Inlet, SC 29576-6119 | 2017-09-21 |
| 1699217653 | Naomi Jean Ferguson | Nurse Practitioner | 912 Inlet Square Dr Ste A, Murrells Inlet, SC 29576-7812 | 2016-11-08 |
| 1306127022 | Audrey Cheryl Massie | Nurse Practitioner | 637 Bellamy Ave Unit C, Murrells Inlet, SC 29576-6472 | 2011-09-08 |
| 1043460215 | Angela Carter Sheridan | Nurse Practitioner | 4111 Murrells Inlet Rd, Murrells Inlet, SC 29576-6208 | 2008-09-24 |
| 1023280583 | Angela Pace Stiles | Nurse Practitioner | 2115 S Highway 17, Unit B, Murrells Inlet, SC 29576-7607 | 2008-03-25 |
| 1154508166 | Kerri Jo Mccoy | Nurse Practitioner | 3710 Highway 17, Murrells Inlet, SC 29576-5005 | 2008-01-22 |
| 1831719384 | Jillian Williams | Nurse Practitioner | 3710 Highway 17, Murrells Inlet, SC 29576-5005 | 2020-04-24 |
| 1063047454 | Margaret F Parker | Nurse Practitioner | 11871 Plaza Dr, Murrells Inlet, SC 29576-7450 | 2020-03-06 |
| 1629600192 | Adrienne Cohen | Nurse Practitioner | 637 Bellamy Ave Unit C, Murrells Inlet, SC 29576-6472 | 2020-02-12 |
| Find all providers in MURRELLS INLET | ||||
| City | MURRELLS INLET |
| Zip Code | 29576 |
Please comment or provide details below to improve the information on MARY DALE EDWARDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.