Individual provider · Type 1 NPI
Lance Edgerton, FNP-C
Family Nurse Practitioner · Petoskey, MI
NPI number
1417596875
Active
Practice location
2390 Mitchell Park Dr Ste D
Petoskey, MI 49770-8965
Mailing address
2390 Mitchell Park Dr
Petoskey, MI 49770-8965
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 4704286475 (MI) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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- Johanna B. Lund, N.P.Family Nurse Practitioner Petoskey, MI NPI 1174534622
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- Christina Marie Waugh, NP-CFamily Nurse Practitioner Petoskey, MI NPI 1316455843
About NPI 1417596875
Lance Edgerton, FNP-C's National Provider Identifier is 1417596875, issued on Jan 3, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Petoskey, MI. The record was last updated on Jun 16, 2020.