Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Etheldra Renee Edwards

Individual provider Nurse Practitioner · NPI 1942777875

Etheldra Renee Edwards is a Nurse Practitioner in Tampa, Florida. Qualified in 2018, 8 years ago. Practices with Monogram Health Professional Services of Florida LLC, a 42-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
8
Licensed in
FL
In the registry since
2018
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Practice location Address checks out

16615 Vallely Dr
Tampa, FL 33618-1132
Phone: (314) 494-3469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12470 Telecom Dr Ste 300w, Temple Terrace, FL 33637-0904 — (813) 871-8183

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9388632 (FL)

Record details

NPI number1942777875
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 29, 2018
Last updated in NPPESFebruary 14, 2020
Certification dateFebruary 14, 2020
Mailing address16615 Vallely Dr, Tampa, FL 33618-1132

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Monogram Health Professional Services Of Florida Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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