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SUSAN TINA WALDT LPN
NPI 1417103771
Licensed Practical Nurse in Syracuse, NY

Active since August 18, 2008
512 ROSEWOOD ROAD, SYRACUSE, NY 13209(315) 491-0181 Get Directions Write a Review

NPPES record last updated: August 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Tina Waldt Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN TINA WALDT LPN (NPI 1417103771) is an individual licensed practical nurse in Syracuse, New York, licensed in New York (270162-1) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1417103771
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameSUSAN TINA WALDTCredential: LPN
Location Address512 ROSEWOOD ROADSyracuse, NY 13209
Mailing Address512 Rosewood RoadSyracuse, NY 13209 · (315) 491-0181
Phone(315) 491-0181
Sole ProprietorYes
Enumeration DateAugust 18, 2008
✔ NPI 1417103771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 270162-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
512 ROSEWOOD ROAD, Syracuse, NY 13209
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Waldt's NPI number?

The NPI number for Susan Waldt is 1417103771. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Susan Waldt located?

Susan Waldt practices at 512 Rosewood Road, Syracuse, NY 13209. The listed phone number is (315) 491-0181.

What is Susan Waldt's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Susan Waldt was last updated on August 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.