Colleen R. Edwards
Licensed Practical Nurse • Clovis, NM
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Colleen Edwards has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Colleen Edwards was a registered Licensed Practical Nurse practicing in Clovis, NM. Throughout an active medical career spanning 14 years, Colleen Edwards provided care at the practice location at 1100 W 21ST ST until profile deactivation on 2024-04-24.
Practice Location & Contact Primary Location
1100 W 21st St
Clovis, NM 881014151
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Clovis, NM
Practicing in Clovis, NM (173 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Case Manager/Care Coordinator
Case Manager/Care Coordinator
Case Manager/Care Coordinator
Community Health Worker
Counselor - Addiction (Substance Use Disorder)
Counselor - Mental Health
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 24, 2024
NPI status registered as active in NPPES database
Registered at 1100 W 21ST ST, CLOVIS, NM 881014151 (Tel: 5757692345)
Registered at 1100 W 21ST ST, CLOVIS, NM 881014151 (Tel: 5757692345)
Recorded as COLLEEN EDWARDS
Licensed Practical Nurse (License #L16507 in NM)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1100 W 21st St
Clovis, NM 881014151
Phone: 5757692345
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