Estrella, Edna D

Estrella, Edna D is an individual health care provider with primary practice located at 245 Cherry St Se , Grand Rapids MI 49503-4607. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Estrella, Edna D can be contacted via phone (616) 913-8200.

Contact Information

Primary practice address
245 Cherry St Se Grand Rapids MI 49503-4607
Phone: (616) 913-8200
Fax: (616) 774-0158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4704200451 Michigan

Profile Details

NPI number 1124043435
LBN Legal business name Estrella, Edna D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124043435 NPPES
Michigan MEDICAID 4474022

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