person
Wanda E Edwards, NP
Psychiatric/Mental Health Nurse Practitioner in Southfield, Michigan
NPI 1720086697

Wanda E Edwards is a Psychiatric/Mental Health Nurse Practitioner based in Detroit, MI and is specialized in Psychiatric/Mental Health. Wanda E Edwards practices in Southfield, MI and has the professional credentials of NP. The NPI Number for Wanda E Edwards is 1720086697 and holds a License No. 4704102153 (Michigan).

The current practice location address for Wanda E Edwards is 29000 Inkster Rd, Southfield, MI and can be reached out via phone at 313-270-4888 and via fax at 313-270-4883. You can also correspond with Wanda E Edwards through the mailing address at 14409 ASHTON RD, DETROIT, MI - 48223-3584 (mailing address contact number: 313-837-8756).

Location: 29000 Inkster Rd, Southfield, MI, 48223-3584
person
Provider Profile Details
NPI Number
1720086697
Provider Name
Wanda E Edwards
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
29000 Inkster Rd, Southfield, MI, 48223-3584
Phone Number
313-270-4888
Fax Number
313-270-4883
Provider Enumeration Date
07/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
693558 01 MI VALUE OPTIONS - PROVIDER CONNECT USER ID
M16694 01 MI MEDICARE - PTAN
0861058 01 MI BCBS PIN
institution
Provider Business Practice Location Address Details
Address
29000 Inkster Rd
City
State
Zip
48034-1097
Phone Number
313-270-4888
Fax Number
313-270-4883
person
Provider Business Mailing Address Details
Address
14409 Ashton Rd
City
State
Zip
48223-3584
Phone Number
313-837-8756
Fax Number
313-270-4883
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Continuing Education/Staff Development
Taxonomy
License No.
4704102153 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
4704102153 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
4704102153 (Michigan)
Definition
Definition to come...
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