Provider Demographics
NPI:1942711452
Name:NEUMAIER, EDMUND LORANGER (RN NP-C)
Entity Type:Individual
Prefix:
First Name:EDMUND
Middle Name:LORANGER
Last Name:NEUMAIER
Suffix:
Gender:M
Credentials:RN NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21600 HARPER AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-2242
Mailing Address - Country:US
Mailing Address - Phone:586-800-1001
Mailing Address - Fax:586-800-1002
Practice Address - Street 1:21600 HARPER AVE STE 100
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-2242
Practice Address - Country:US
Practice Address - Phone:586-800-1001
Practice Address - Fax:586-800-1002
Is Sole Proprietor?:No
Enumeration Date:2017-10-24
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704213885363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health