Organization · Type 2 NPI
Liandra Waisome Nurse Practitioner In Psychiatry, PLLC
Psychiatric/Mental Health Nurse Practitioner · Staten Island, NY
NPI number
1700741634
Active
Practice location
469 Delafield Ave
Staten Island, NY 10310-2012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1700741634
Liandra Waisome Nurse Practitioner In Psychiatry, PLLC's National Provider Identifier is 1700741634, issued on Dec 23, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Staten Island, NY. The record was last updated on Dec 23, 2025.