Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sophonie Edgla Philidor

Individual provider Registered Nurse · NPI 1194411884

Sophonie Edgla Philidor is a Nurse Practitioner in Lansing, Michigan. Qualified in 2023, 3 years ago. Practices with Flushing Urgent Care PLC, a 14-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2900 Collins Rd
Lansing, MI 48910-8394
Phone: (517) 975-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704324784 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704324784 (MI)

Record details

NPI number1194411884
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 14, 2023
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Flushing Urgent Care Plc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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