Individual provider · Type 1 NPI

Mary Margaret Fedewa, CRNP CNS

Nurse Practitioner · Dewitt, MI

NPI number 1659624138 Active

Practice location

3263 W Chadwick Rd
Dewitt, MI 48820-9194

Mailing address

Nih 10 Center Dr
Bethesda, MD 20894-0001

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704149241 (MI)
Nurse Practitioner 363L00000X15347 (CA)
Clinical Nurse Specialist 364S00000X2258 (CA)

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…

About NPI 1659624138

Mary Margaret Fedewa, CRNP CNS's National Provider Identifier is 1659624138, issued on Oct 20, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dewitt, MI. The record was last updated on Oct 20, 2012.