KATRENA EDMONDSON
NPI 1265988083
Licensed Practical Nurse in Southfield, MI

Active since August 31, 2016
26663 W. CARRIAGE PARK DR, SOUTHFIELD, MI 48034(248) 730-3427 Get Directions Write a Review

NPPES record last updated: August 31, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katrena Edmondson NPPES

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

KATRENA EDMONDSON (NPI 1265988083) is an individual licensed practical nurse in Southfield, Michigan, licensed in Michigan (4703111918) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1265988083
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKATRENA EDMONDSON
Location Address26663 W. CARRIAGE PARK DRSouthfield, MI 48034
Mailing Address26663 W. Carriage Park DrSouthfield, MI 48034 · (248) 730-3427
Sole ProprietorNo
Enumeration DateAugust 31, 2016
NPI 1265988083 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 · 4703111918
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.

26663 W. CARRIAGE PARK DR, Southfield, MI 48034

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 Katrena Edmondson's NPI number?

The NPI number for Katrena Edmondson is 1265988083. It was assigned to this individual provider in the NPPES registry on August 31, 2016.

Where is Katrena Edmondson located?

Katrena Edmondson practices at 26663 W. Carriage Park Dr, Southfield, MI 48034. The listed phone number is (248) 730-3427.

What is Katrena Edmondson'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 Katrena Edmondson was last updated on August 31, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.