Individual
BRENDA EDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 427-5592
Mailing address
16595 GLASTONBURY RD, DETROIT, MI 48219-4107
(313) 427-5592
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704204204
MI
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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