WANDA EDWARDS (NPI# 1689211823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689211823 |
Entity Type | Organization |
Organization Name | WANDA EDWARDS |
Practice Address |
29000 Inkster Rd Ste 115 Southfield MI 48034-1097 |
Mailing Address |
14409 Ashton Rd Detroit MI 48223-3584 |
Practice Telephone | 3132704888 |
Mailing Telephone | 3132704888 |
Mailing Fax Number | 3132704883 |
Enumeration Date | 2019-12-06 |
Last Update Date | 2019-12-06 |
Authorized Official Name | DR. WANDA EDWARDS (OWNER - NURSE PRACTITIONER) |
Authorized Official Telephone | 3132704888 |
Authorized Official Credential | NP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Health and Business Consultants | Doing Business As Name - Organization |
Street Address |
29000 INKSTER RD STE 115 |
City | SOUTHFIELD |
State | MI |
Zip Code | 48034-1097 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
Find all providers in zip 48034 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
1518435486 | Benjamin Delaney | Nurse Practitioner | 29500 Southfield Rd Ste 100, Southfield, MI 48076-2036 | 2018-11-08 |
1104255058 | Marie D Libbey | Nurse Practitioner | 21751 W 11 Mile Rd, Suite #105, Southfield, MI 48076-3712 | 2013-11-01 |
1598003915 | Duren Ray Gutierrez | Nurse Practitioner | 22170 W 9 Mile Rd, Southfield, MI 48033-6007 | 2013-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
1801343942 | Gwendolyn K La Croix | Nurse Practitioner | 7521 N Telegraph Rd Ste 1, Newport, MI 48166-9398 | 2016-09-07 |
1548630296 | Eric Darnall | Nurse Practitioner | 3309 Ravena Ave, Royal Oak, MI 48073-2111 | 2015-10-06 |
Find all providers with the same taxonomy |
City | SOUTHFIELD |
Zip Code | 48034 |
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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.