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RENEE EDMISTEN LPN
NPI 1184274342
Licensed Practical Nurse in Canton, MI

Active since September 18, 2019
43825 MICHIGAN AVE, CANTON, MI 48188(734) 397-3088 Get Directions Write a Review

NPPES record last updated: September 18, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Renee Edmisten Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEE EDMISTEN LPN (NPI 1184274342) is an individual licensed practical nurse in Canton, Michigan, licensed in Michigan (4703040080) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1184274342
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameRENEE EDMISTENCredential: LPN
Location Address43825 MICHIGAN AVECanton, MI 48188-2551
Mailing Address31492 Merriwood Park DrLivonia, MI 48152-4232 · (248) 579-6236
Phone(734) 397-3088
Sole ProprietorNo
Enumeration DateSeptember 18, 2019
✔ NPI 1184274342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703040080
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
43825 MICHIGAN AVE, Canton, MI 48188
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA LYNN SANDERS RN
Registered Nurse (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
FLORENCE IGBAWUA
Social Worker
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. JONATHAN AARON KOZIEL NP
Family Medicine
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
KENNAYA YAUQUAN DAVIS LPN
Licensed Practical Nurse
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. TYLER MANNS
Counselor (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MANDY GRAHAM
Peer Specialist
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. ROY HELTON LPN
Licensed Practical Nurse
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
KELLI HACKEL
Registered Nurse (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Edmisten's NPI number?

The NPI number for Renee Edmisten is 1184274342. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is Renee Edmisten located?

Renee Edmisten practices at 43825 Michigan Ave, Canton, MI 48188. The listed phone number is (734) 397-3088.

What is Renee Edmisten's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Renee Edmisten was last updated on September 18, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.