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

Lisa Edwards

Individual provider Licensed Practical Nurse · NPI 1710742911

Lisa Edwards is a Licensed Practical Nurse in Fayetteville, West Virginia. Practices as a sole proprietor. Licensed in West Virginia.

Licensed in
WV
In the registry since
2024

Practice location Address checks out

5447 Maple Ln Ste A
Fayetteville, WV 25840-6872
Phone: (304) 573-6120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 35564 (WV)

Record details

NPI number1710742911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 16, 2024
Last updated in NPPESFebruary 16, 2024
Certification dateFebruary 16, 2024
Mailing address5447 Maple Ln Ste A, Fayetteville, WV 25840-6872

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