Most Relevant Information
Provider Data
| NPI Number: | 1003583824 |
| Provider Name: | ASHLEY H EDMONDS NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704278463 |
Most Important Dates
| Enumeration Date: | 08/28/2021 |
| Last Updated: | 08/28/2021 |
Provider Practice Location
41850 W 11 MILE RD STE 202
NOVI
MI
483751857
Practice Location Phone/Fax
| Phone: | 8104297859 |
| Fax: |
Provider Mailing Location
12105 BOLDREY DR
FENTON
MI
484309654
Provider Mailing Phone/Fax
| Phone: | 8104297859 |
| Fax: |