Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Liandra Waisome Nurse Practitioner in Psychiatry, PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1700741634

Liandra Waisome Nurse Practitioner in Psychiatry, PLLC is a Psychiatric/Mental Health Nurse Practitioner in Staten Island, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

469 Delafield Ave
Staten Island, NY 10310-2012
Phone: (917) 748-5699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1700741634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liandra Waisome Edwards — Managing Member · (917) 748-5699
NPI enumeratedDecember 23, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address469 Delafield Ave, Staten Island, NY 10310-2012

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