Provider Demographics
NPI:1194005884
Name:EDGAR, NANCY LYNN (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:LYNN
Last Name:EDGAR
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MRS
Other - First Name:NANCY
Other - Middle Name:LYNN
Other - Last Name:TUOHY, ARELLANO, JAVOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:12022 FRANCESCA DR
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-1519
Mailing Address - Country:US
Mailing Address - Phone:810-686-1997
Mailing Address - Fax:810-686-1820
Practice Address - Street 1:8434 N SAGINAW RD
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:MI
Practice Address - Zip Code:48458
Practice Address - Country:US
Practice Address - Phone:810-686-1997
Practice Address - Fax:810-686-1820
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704246733363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily