WANDA EDWARDS


Address: 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097
Phone: 3132704888

WANDA EDWARDS (NPI# 1689211823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
Health and Business Consultants Doing Business As Name - Organization

Office Location

Street Address 29000 INKSTER RD STE 115
City SOUTHFIELD
State MI
Zip Code 48034-1097

Providers in the same zip code

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 Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City SOUTHFIELD
Zip Code 48034

Improve Information

Please comment or provide details below to improve the information on WANDA EDWARDS.

Dataset Information

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.

Trending Searches