Individual provider · Type 1 NPI
Wanda E. Edwards, NP
Psychiatric/Mental Health Nurse Practitioner · Southfield, MI
NPI number
1720086697
Active
Practice location
29000 Inkster Rd, Ste 115
Southfield, MI 48034-1097
Fax (313) 270-4883
Mailing address
14409 Ashton Rd
Detroit, MI 48223-3584
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | 4704102153 (MI) |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 4704102153 (MI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4704102153 (MI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1720086697
Wanda E. Edwards, NP's National Provider Identifier is 1720086697, issued on Jul 13, 2005. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Southfield, MI. The record was last updated on Dec 1, 2020.