Individual
JOANNA EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN, FNP-C
Contact information
Practice address
1422 S LAPEER RD, LAKE ORION, MI 48360-1437
(248) 257-4016
(248) 693-3683
Mailing address
29732 KEVIN DR, CHESTERFIELD, MI 48051-3931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704281614
MI
363LF0000X
Family Nurse Practitioner
Primary
4704281614
MI
Other
Enumeration date
09/12/2017
Last updated
10/10/2024
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