Individual
EDWINA CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1400 CEDARWOOD DR, GREENVILLE, MI 48838-2634
(616) 570-6727
Mailing address
1400 CEDARWOOD DR, GREENVILLE, MI 48838-2634
(616) 570-6727
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114103
MI
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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