MS. DEBORAH L. EDFORD (NPI# 1790970002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790970002 |
| Entity Type | Individual |
| Full Name | MS. DEBORAH L. EDFORD |
| Credential | NP |
| Practice Address |
3413 Bemis Rd Ypsilanti MI 48197-9307 |
| Practice Telephone | 7345728757 |
| Practice Fax Number | 7344342548 |
| Mailing Telephone | 7345728757 |
| Mailing Fax Number | 7344342548 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
4704153990 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3413 BEMIS RD |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-9307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407471782 | Essential Care Medical Center | Clinical Nurse Specialist | 3120 Carpenter St Ste 207, Hamtramck, MI 48212-2771 | 2020-06-11 |
| 1508103920 | Cheryl Ann Zimlich | Clinical Nurse Specialist | 5500 Armstrong Road (11c), Va Medical Center, Battle Creek, MI 49037 | 2013-01-04 |
| 1548592249 | Debra Sl Remley | Clinical Nurse Specialist | 3947 Nelson Dr, Newport, MI 48166-9007 | 2010-02-04 |
| 1295800134 | Lynda Kay Suciu | Clinical Nurse Specialist | 6289 Burningtree Dr, Burton, MI 48509-2610 | 2006-11-22 |
| 1346790920 | Cynthia J Papendick Inc | Clinical Nurse Specialist | 16170 Red Arrow Hwy, Suite C-8, Union Pier, MI 49129-9473 | 2016-10-07 |
| 1336450600 | Josephine Anne Grider | Clinical Nurse Specialist | 30600 Telegraph Rd, Suite 3275, Bingham Farms, MI 48025-4530 | 2010-07-01 |
| 1760614721 | Megan M Bronson | Clinical Nurse Specialist | 4877 Meandering Creek Dr Ne, Belmont, MI 49306-9662 | 2009-08-10 |
| 1043455702 | Michele Marie Corker | Clinical Nurse Specialist | 4646 John R, John D. Dingell Va Medical Center, Detroit, MI 48201 | 2008-12-10 |
| 1457540536 | Mark David Loszewski | Clinical Nurse Specialist | 4646 John R St, Mental Health Clinic, Detroit, MI 48201-1916 | 2007-10-15 |
| 1992802086 | Christine Weber | Clinical Nurse Specialist | 12851 Grand River Rd, Brighton, MI 48116-8506 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
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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.