Individual ProviderEdith KpliviNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address28 W Washington St, Hagerstown, MD 21740-6688(240) 595-5497PECOS EnrollmentBased on the most recent information from CMS, provider Edith Kplivi 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 2 days ago.Profile DetailsProvider ID1417650706Provider TypeIndividualFull NameKplivi, EdithCredentialCRNP-PMHGenderFemaleSole ProprietorNoEnumeration Date3/24/2023Last Updated4/26/2024Contact InformationPractice LocationPractice Address28 W Washington St, Hagerstown, MD 21740-6688Phone(240) 595-5497Fax(240) 720-0342Mailing LocationMailing Address28 W Washington St, Hagerstown, MD 21740-6688Phone(240) 595-5497Fax(240) 720-0342Provider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR148057Maryland