IndividualActive
Mira Edgerton, NURSE PRACTITIONER
NPI 1033352265 · Family Health Clinical Nurse Specialist · Okemos, MI
Provider details
- NPI number
- 1033352265
- Entity type
- Individual
- Primary specialty
- Family Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- 4704092938 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4397 Stoneycroft Dr
Okemos, MI 48864-2935
Phone: (517) 349-0737
Approximate (ZIP-level) locationGet directions
Mailing address
4397 Stoneycroft Dr
Okemos, MI 48864-2935
Registry dates
- Enumerated
- 2009-04-17
- Last updated
- 2014-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.