Provider Demographics
NPI:1649594813
Name:EDGING, MICHAEL HYLTON (RN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:HYLTON
Last Name:EDGING
Suffix:
Gender:M
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4976 ALPHA LN
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-5470
Mailing Address - Country:US
Mailing Address - Phone:423-497-5355
Mailing Address - Fax:423-308-0281
Practice Address - Street 1:5864 HIGHWAY 153 STE 112
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-5187
Practice Address - Country:US
Practice Address - Phone:423-497-5359
Practice Address - Fax:423-877-5208
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN21198363LF0000X
CA19560363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily