Individual provider · Type 1 NPI
Sophonie Edgla Philidor
Nurse Practitioner · Lansing, MI
Practice location
2900 Collins Rd
Lansing, MI 48910-8394
Mailing address
1607 Snyder Rd
East Lansing, MI 48823-3747
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704324784 (MI) |
| Nurse Practitioner Primary | 363L00000X | 4704324784 (MI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1194411884
Sophonie Edgla Philidor's National Provider Identifier is 1194411884, issued on Apr 14, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lansing, MI. The record was last updated on May 16, 2024.