Edwards, Wanda E

Edwards, Wanda E is an sole proprietor health care provider with primary practice located at 29000 Inkster Rd Ste 115, Southfield MI 48034-1097. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Continuing Education/Staff Development, Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Edwards, Wanda E can be contacted via phone (313) 270-4888.

Contact Information

Primary practice address
29000 Inkster Rd Ste 115 Southfield MI 48034-1097
Phone: (313) 270-4888
Fax: (313) 270-4883
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Continuing Education/Staff Development 163WC1600X 4704102153 Michigan
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 4704102153 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 4704102153 Michigan

Profile Details

NPI number 1720086697
LBN Legal business name Edwards, Wanda E
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2005
Last updated Dec 1st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720086697 NPPES
Michigan Other 693558 VALUE OPTIONS - PROVIDER CONNECT USER ID
Michigan Other M16694 VALUE OPTIONS - PROVIDER CONNECT USER ID
Michigan Other 0861058 VALUE OPTIONS - PROVIDER CONNECT USER ID

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