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LIANDRA WAISOME NURSE PRACTITIONER IN PSYCHIATRY, PLLC
NPI 1700741634
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY

Active since December 23, 2025
469 DELAFIELD AVE, STATEN ISLAND, NY 10310(917) 748-5699 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liandra Waisome Nurse Practitioner In Psychiatry, Pllc NPPES

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

LIANDRA WAISOME NURSE PRACTITIONER IN PSYCHIATRY, PLLC (NPI 1700741634) is a healthcare organization registered as a psychiatric/mental health in Staten Island, New York and active in the NPI registry since December 2025. The organization lists Liandra Waisome Edwards, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1700741634
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIANDRA WAISOME NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Location Address469 DELAFIELD AVEStaten Island, NY 10310-2012
Mailing Address469 Delafield AveStaten Island, NY 10310-2012
Phone(917) 748-5699
Organization SubpartNo
Authorized OfficialLiandra Waisome EdwardsManaging Member · (917) 748-5699
Enumeration DateDecember 23, 2025
NPPES CertifiedDecember 23, 2025
✔ NPI 1700741634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
469 DELAFIELD AVE, Staten Island, NY 10310
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Liandra Waisome Nurse Practitioner In Psychiatry, PLLC's NPI number?

The NPI number for Liandra Waisome Nurse Practitioner In Psychiatry, PLLC is 1700741634. It was assigned to this organization in the NPPES registry on December 23, 2025.

Where is Liandra Waisome Nurse Practitioner In Psychiatry, PLLC located?

Liandra Waisome Nurse Practitioner In Psychiatry, PLLC is located at 469 Delafield Ave, Staten Island, NY 10310. The listed phone number is (917) 748-5699.

What is Liandra Waisome Nurse Practitioner In Psychiatry, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Liandra Waisome Nurse Practitioner In Psychiatry, PLLC was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.