TARA JEAN EDERSHEIM
NPI 1881231926
Licensed Practical Nurse in Auburn, NY

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since December 09, 2019

17 E GENESEE ST STE 1, AUBURN, NY 13021(315) 253-9795 Get Directions Write a Review

NPPES record last updated: December 9, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Tara Jean Edersheim NPPES

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

TARA JEAN EDERSHEIM (NPI 1881231926) is an individual licensed practical nurse in Auburn, New York, licensed in New York (301264) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1881231926

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTARA JEAN EDERSHEIM

Location Address17 E GENESEE ST STE 1Auburn, NY 13021-4068

Mailing Address17 E Genesee St Ste 1Auburn, NY 13021-4068 · (315) 253-9795

Phone(315) 253-9795

Sole ProprietorNo

Enumeration DateDecember 9, 2019

✔ NPI 1881231926 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 · 301264

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.

17 E GENESEE ST STE 1, Auburn, NY 13021

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