MRS. MIRA EDGERTON (NPI# 1033352265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033352265 |
| Entity Type | Individual |
| Full Name | MRS. MIRA EDGERTON |
| Credential | NURSE PRACTITIONER |
| Practice Address |
4397 Stoneycroft Dr Okemos MI 48864-2935 |
| Practice Telephone | 5173490737 |
| Mailing Telephone | 5173490737 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2014-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
4704092938 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851605117 | Mira Edgerton | Dentist | 3951 Main St, Amherst, NY 14226-3401 | 2010-07-28 |
| Street Address |
4397 STONEYCROFT DR |
| City | OKEMOS |
| State | MI |
| Zip Code | 48864-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972066348 | Jan J Stokosa | Prosthetic/Orthotic Supplier | 2145 University Park Drive, Suite 100, Okemos, MI 48864 | 2019-04-11 |
| 1194284067 | Bryan R Salminen | Counselor | 2127 University Drive Suite 300, Okemos, MI 48864 | 2019-03-19 |
| 1639678600 | Paula Veronica Yevilaf Neira | Behavior Technician | 3887 Okemos Rd Suite A1, Okemos, MI 48864 | 2018-02-06 |
| 1306364690 | Sally Ann Purdy | Social Worker | 3493 Woods Edge Dr., Suite #103, Okemos, MI 48864 | 2017-09-06 |
| 1952824609 | Victoria Marie Hopper | Behavior Technician | 3887 Okemos Rd., Suite #a1, Okemos, MI 48864 | 2017-07-24 |
| 1134653306 | Kayleigh Delaney | Dietitian, Registered | 5050 Marsh Road, Suite 5, Okemos, MI 48864 | 2017-04-14 |
| 1922544402 | Elsabeth Engeda | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4464 Hickory Drive, Okemos, MI 48864 | 2017-01-09 |
| 1104373752 | Joslyn Fraidenburg | Registered Nurse | 2322 Knod Hill Dr, Apt 14, Okemos, MI 48864 | 2016-09-01 |
| 1851748966 | Doug Derdowski | Social Worker | 4123 Okemos Road, Eastbrook Plaza, Okemos, MI 48864 | 2016-05-18 |
| 1437505971 | Jessica Lynn Reslock | Occupational Therapist | 2378 Woodlake Dr. Suite 280, Children's Therapy Corner, Okemos, MI 48864 | 2016-05-13 |
| Find all providers in zip 48864 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417493065 | Jessica Mcdiarmid | Clinical Nurse Specialist | 1201 Flushing Rd, Flint, MI 48504 | 2017-01-06 |
| 1437609781 | Port Huron Internal Medicine | Clinical Nurse Specialist | 2540 16th St, Port Huron, MI 48060-6405 | 2016-10-11 |
| 1730553819 | Shireen Fradi | Clinical Nurse Specialist | 33259 Dequindre Rd, Troy, MI 48083-4628 | 2015-11-30 |
| 1124445341 | Julie Brusca | Clinical Nurse Specialist | 30701 Woodward Ave, Royal Oak, MI 48073-0987 | 2014-03-26 |
| 1033410451 | Cherrell Monik Shells | Clinical Nurse Specialist | 2700 Robert T Longway Blvd Ste B, Flint, MI 48503-2190 | 2010-11-17 |
| 1275840282 | Lisa L Ferguson | Clinical Nurse Specialist | 221 E Maple St, Carson City, MI 48811-0550 | 2010-09-13 |
| 1316252166 | Kermit Steven Day | Clinical Nurse Specialist | 4333 W St Joe Hwy, Lansing, MI 48917-4100 | 2010-08-17 |
| 1376733972 | Aspirus Iron River Hospital & Clinics, Inc. | Clinical Nurse Specialist | 1400 W Ice Lake Rd, Iron River, MI 49935-9526 | 2007-07-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.