Individual
NICHOLE EDELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
36475 5 MILE RD, LIVONIA, MI 48154-1971
(734) 655-2022
Mailing address
2913 PHILLIPS AVE, BERKLEY, MI 48072-1107
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704231911
MI
Other
Enumeration date
02/21/2007
Last updated
08/29/2017
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