Nichole Edelman CRNA

NPI 1326183906 - Anesthesiology - 207L00000X

NPI Details
NPI 1326183906
Gender Female
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
36475 5 MILE RD
LIVONIA MI, 48154-1971, US
Phone (734) 655-2022
Fax
Business Location
2913 PHILLIPS AVE
BERKLEY MI, 48072-1107, US
Phone
Fax
Toxanomy
Taxonomy Code 207L00000X
License State Michigan
License Number 4704231911
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According to our database, Nichole Edelman CRNA NPI is 1326183906, taxonomy code is 207L00000X and license number is 4704231911, license state is located at Michigan. Nichole Edelman CRNA physically located at 36475 5 Mile Rd, Livonia MI, 48154-1971. NPI Number Nichole Edelman CRNA has the Individual type.

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1326183906 NPI number is provided on an as is basis without warranty of any kind. 1326183906 is maintained by the National Plan & Provider Enumeration System. The contents of Nichole Edelman CRNA are for informational purposes only.