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Dylan Edelbaum
Licensed Practical Nurse in East Lansing, Michigan
NPI 1134575442

Dylan Edelbaum is a Licensed Practical Nurse based in East Lansing, MI. Dylan Edelbaum practices in East Lansing, MI. The NPI Number for Dylan Edelbaum is 1134575442 and holds a License No. 4703116404 (Michigan).

The current practice location address for Dylan Edelbaum is 1547 N Hagadorn Rd Apt 18, East Lansing, MI and can be reached out via phone at 248-658-8696.

Location: 1547 N Hagadorn Rd Apt 18, East Lansing, MI, 48823-2365
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134575442
Provider Name
Dylan Edelbaum
Credential
Provider Entity Type
Individual
Gender
Male
Address
1547 N Hagadorn Rd Apt 18, East Lansing, MI, 48823-2365
Phone Number
248-658-8696
Fax Number
Provider Enumeration Date
05/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1547 N Hagadorn Rd Apt 18
City
East Lansing
State
Michigan
Zip
48823-2365
Phone Number
248-658-8696
Fax Number
person
Provider Business Mailing Address Details
Address
1547 N Hagadorn Rd Apt 18
City
East Lansing
State
Michigan
Zip
48823-2365
Phone Number
248-658-8696
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703116404 (Michigan)
Definition
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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