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Andrea Beth Edgerly, FNP
Nurse Practitioner in Coloma, Michigan
NPI 1922506948

Andrea Beth Edgerly is a Nurse Practitioner based in Coloma, MI. Andrea Beth Edgerly practices in Coloma, MI and has the professional credentials of FNP. The NPI Number for Andrea Beth Edgerly is 1922506948 and holds a License No. 28240769A (Michigan).

The current practice location address for Andrea Beth Edgerly is 6701 Paw Paw Ave, Coloma, MI and can be reached out via phone at 269-463-3600.

Location: 6701 Paw Paw Ave, Coloma, MI, 49038-9519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922506948
Provider Name
Andrea Beth Edgerly
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
6701 Paw Paw Ave, Coloma, MI, 49038-9519
Phone Number
269-463-3600
Fax Number
Provider Enumeration Date
01/24/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300011718 05 IN
178420026 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
6701 Paw Paw Ave
City
Coloma
State
Michigan
Zip
49038-9519
Phone Number
269-463-3600
Fax Number
person
Provider Business Mailing Address Details
Address
6701 Paw Paw Ave
City
Coloma
State
Michigan
Zip
49038-9519
Phone Number
269-463-3600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71007815A (Indiana)
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28240769A (Indiana)
Definition
Definition to come...
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