OrganizationActive
Advanced Practice Primary Care Staff Associates
NPI 1558029983 · Primary Care Clinic/Center · Edwardsburg, MI
Provider details
- NPI number
- 1558029983
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Elizabeth Van Overberghe, Family Nurse Practitioner
Mailing address
27160 Deerfield Ln
Edwardsburg, MI 49112-9663
Registry dates
- Enumerated
- 2021-12-02
- Last updated
- 2022-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.