Individual provider · Type 1 NPI

Islande Edma

Registered Nurse · Grand Rapids, MI

NPI number 1164327102 Active

Practice location

2100 Raybrook St SE Ste 203
Grand Rapids, MI 49546-5783

Call (616) 956-9440 Map

Mailing address

3130 Jefferson Ave SE
Wyoming, MI 49548-1269

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X4704405839 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1164327102

Islande Edma's National Provider Identifier is 1164327102, issued on Oct 9, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 9, 2026.