Taryne Marie Edge, RN
Registered Nurse, General Practice in Ypsilanti, MI. Individual provider (NPI-1).
NPI number1598480394
StatusActive
Last updated in NPPESOct 5, 2022
Details
- NPI
- 1598480394
- Entity type
- Individual (NPI-1)
- Name
- Taryne Marie Edge
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 5, 2022
- Certification date
- Oct 5, 2022
- Last updated
- Oct 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 4704364093 | MI | Yes |
Other names
- Taryne Marie Pagel (Former Name)
Practice location
5570 Whittaker RdYpsilanti, MI 48197-9752
Phone 734-780-4164
Mailing address
4309 Westlake CirVan Buren Twp, MI 48111-6111
Phone 734-788-7928
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