Individual provider · Type 1 NPI
Leslie Blades Eadon, RN BSN AGPCNP-BC OCN
Adult Health Nurse Practitioner · New York, NY
NPI number
1679958748
Active
Practice location
1275 York Ave, M14
New York, NY 10065-6007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 307448 (NY) |
| Gerontology Nurse Practitioner | 363LG0600X | 307448 (NY) |
| Primary Care Nurse Practitioner | 363LP2300X | 307448 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1679958748
Leslie Blades Eadon, RN BSN AGPCNP-BC OCN's National Provider Identifier is 1679958748, issued on Jul 29, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Jul 29, 2015.