Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY MARGARET FEDEWA, CRNP CNS
Active Sole ProprietorMS. MARY MARGARET FEDEWA, CRNP CNS is a Nurse Practitioner healthcare provider located in DEWITT, Michigan. NPI 1659624138 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · DEWITT, MI
Registration Details
- NPI Number
- 1659624138
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 20, 2012 (13.859209870203 yrs)
- Last Updated
- Oct 20, 2012
- Licenses
-
4704149241 (MI)15347 (CA)2258 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3263 W CHADWICK RDDEWITT, MI, 488209194Browse MI providers · Browse ZIP 48820
- Phone
- 5178990816
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
- Additional Specialty
- Clinical Nurse Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.