MS. EDNA ROSELLEN DEDLOW MSN, PNP-BC
NPI 1265474639
Nurse Practitioner - Pediatrics in Greensboro, NC

Active since June 12, 2006
719 GREEN VALLEY RD STE 306, GREENSBORO, NC 27408(336) 275-6470(336) 275-6474 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2021, Feb 2, 2017 (2 updates tracked since 2017).

About Ms. Edna Rosellen Dedlow Msn, Pnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. EDNA ROSELLEN DEDLOW MSN, PNP-BC (NPI 1265474639) is an individual pediatrics provider in Greensboro, North Carolina, licensed in North Carolina (5007053) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1265474639
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. EDNA ROSELLEN DEDLOWCredential: MSN, PNP-BC
Location Address719 GREEN VALLEY RD STE 306Greensboro, NC 27408-7026
Mailing Address719 Green Valley Rd Ste 306Greensboro, NC 27408-7026 · (336) 275-6470 · Fax (336) 275-6474
Fax(336) 275-6474
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
NPI 1265474639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in NC · 5007053
719 GREEN VALLEY RD STE 306, Greensboro, NC 27408

Other Identifiers 1

Medicaid1265474639NC

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
719 GREEN VALLEY RD STE 306
GREENSBORO, NC 27408
Physician Assistant
719 GREEN VALLEY RD STE 306
GREENSBORO, NC 27408
Dermatology
719 GREEN VALLEY RD STE 306
GREENSBORO, NC 27408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edna Dedlow's NPI number?

The NPI number for Edna Dedlow is 1265474639. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Edna Dedlow located?

Edna Dedlow practices at 719 Green Valley Rd Ste 306, Greensboro, NC 27408. The listed phone number is (336) 275-6470.

What is Edna Dedlow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Edna Dedlow was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.