| Name: | EDWFNP, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Jun 2014 (10 years ago) (Companies founded in June 2014) |
| Entity Number: | 000-312-616 |
| Register Number: | 000312616 |
| ZIP code: | 35466 (Companies in Pickens, 35466) |
| County: | Pickens |
| Place of Formation: | Pickens County |
| Principal Address: | 216 2ND STREET SWGORDO, AL 35466 |
| Principal Mailing Address: | PO BOX 518CARROLTON, AL 35447 |
Activities
MEDICAL NURSE PRACTITIONER SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871234237 | 2022-04-07 | 2022-05-09 | 216 2ND ST SW, GORDO, AL, 354662221, US | 653 HELEN KELLER BLVD, TUSCALOOSA, AL, 354042983, US | |||||||||||||||||||||||||||||
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| Phone | +1 205-391-7534 |
| Phone | +1 205-301-0769 |
| Fax | 2052725789 |
Authorized person
| Name | ELLA WILLIAMSON |
| Role | PMHNP |
| Phone | 2053917534 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ALABAMA BOARD OF NURSING REGISTERED NURSE (RN) LICENSE NUMBER |
| Number | 1-090748 |
| State | AL |
| Issuer | ALABAMA BOARD OF NURSING CERTIFIED REGISTERED NURSE PRACTITIONER (CRNP) LICENSE |
| Number | 1-090748 |
| State | AL |
| Name | Role |
|---|---|
| WILLIAMSON, ELLA | Agent |
| Name | Role | Address |
|---|---|---|
| WILLIAMSON, ELLA D | Organizer | 216 2ND STREET SWGORDO, AL 35466 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
