Individual
NICOLE EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1352 N PACKARD AVE, BURTON, MI 48509-1643
(810) 569-6195
Mailing address
1352 N PACKARD AVE, BURTON, MI 48509-1643
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704414187
MI
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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