Individual provider · Type 1 NPI
Rebecca Jean Waldo, NP
Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY
NPI number
1669149100
Active
Practice location
719 Harrison St
Syracuse, NY 13210-2305
Mailing address
709 Woods Rd
Vestal, NY 13850-3567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 403668 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1669149100
Rebecca Jean Waldo, NP's National Provider Identifier is 1669149100, issued on Aug 24, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Syracuse, NY. The record was last updated on Aug 24, 2021.