Individual provider · Type 1 NPI
Laura Edge, NP
Psychiatric/Mental Health Nurse Practitioner · Grand Rapids, MI
NPI number
1679844070
Active
Practice location
300 68th St SE
Grand Rapids, MI 49548-6927
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 4704211246 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704211246 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1679844070
Laura Edge, NP's National Provider Identifier is 1679844070, issued on Jan 18, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 10, 2014.