Individual provider · Type 1 NPI
Liandra Waisome, NP
Psychiatric/Mental Health Nurse Practitioner · New York, NY
NPI number
1023451390
Active
Practice location
1 Penn Plz, Suite 725
New York, NY 10119-0002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 306370 (NY) |
| Nurse Practitioner | 363L00000X | 340897 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 404430 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1023451390
Liandra Waisome, NP's National Provider Identifier is 1023451390, issued on Apr 16, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New York, NY. The record was last updated on Jun 25, 2026.