Individual provider · Type 1 NPI

Katrena Edmondson

Licensed Practical Nurse · Southfield, MI

NPI number 1265988083 Active

Practice location

26663 W. Carriage Park Dr
Southfield, MI 48034

Call (248) 730-3427 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703111918 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1265988083

Katrena Edmondson's National Provider Identifier is 1265988083, issued on Aug 31, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Southfield, MI. The record was last updated on Aug 31, 2016.