Individual
ARLYNE EDO MICHAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSRN
Contact information
Practice address
3809 GOLD POINT ST, LAS VEGAS, NV 89129-8333
(586) 524-8010
(702) 442-3813
Mailing address
72 CHERRY DRIVE, TROY, MI 48083
(586) 524-8010
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
4704132973
MI
163WH0200X
Home Health Registered Nurse
Primary
4704132973
MI
163WH1000X
Hospice Registered Nurse
4704132973
MI
Other
Enumeration date
03/02/2021
Last updated
06/25/2021
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