Individual ProviderPamela (Pam) Ann EdwardsStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address17235 N 75th Ave Ste F100, Glendale, AZ 85308-0871(480) 641-1165(602) 448-2187PECOS EnrollmentBased on the most recent information from CMS, provider Pamela (Pam) Ann Edwards does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1033894431Provider TypeIndividualFull NameEdwards, Pamela (Pam) AnnGenderFemaleSole ProprietorNoEnumeration Date6/21/2023Last Updated6/21/2023Contact InformationPractice LocationPractice Address17235 N 75th Ave Ste F100, Glendale, AZ 85308-0871Phone(480) 641-1165FaxUnlisted FaxMailing LocationMailing Address3133 W Quail Track Dr, Phoenix, AZ 85083-5826Phone(602) 448-2187FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer