Andrea Chelene Edgar, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Carson City, MI
NPI 1033566732 · NPPES record last updated Oct 3, 2018
Key facts
- NPI
- 1033566732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704178323 (MI)
- Practice address
- 10274 E Boyer Rd
Carson City, MI 48811 - Phone
- (989) 584-3941
- Fax
- (989) 584-6579
- NPI assigned
- May 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704178323 | MI | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704178323 | MI | Yes |
Addresses
Primary practice location
10274 E Boyer Rd
Carson City, MI 48811
Mailing address
2710 South Shore Dr
Crystal, MI 48818
Phone (989) 287-0414
Other practice location 1
10274 E Boyer Rd
Carson City, MI 48811
Phone (989) 584-3941 ext. 2143
Other providers in Carson City, MI
- Donohue and Donohue PC
- Kelly Marie Donohue
- Terry James Donohue
- Timothy Michael Donohue
- Vincent J Dube
- Edward W. Sparrow Hospital Association
- Lisa L Ferguson
- Seth Thomas Ferguson
- Five CS Communication Care PLC
- Foot & Ankle Specialists of West Michigan P L L C
All providers in Carson City, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.