Organization
LIANDRA WAISOME NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIANDRA WAISOME EDWARDS (MANAGING MEMBER)
(917) 748-5699
Entity
Organization
Contact information
Practice address
469 DELAFIELD AVE, STATEN ISLAND, NY 10310-2012
(917) 748-5699
Mailing address
469 DELAFIELD AVE, STATEN ISLAND, NY 10310-2012
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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