Individual
ASHLEY H EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41850 W 11 MILE RD STE 202, NOVI, MI 48375-1857
(810) 429-7859
Mailing address
12105 BOLDREY DR, FENTON, MI 48430-9654
(810) 429-7859
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704278463
MI
Other
Enumeration date
08/28/2021
Last updated
08/28/2021
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