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

Individual provider Licensed Practical Nurse · NPI 1417103771

Susan Tina Waldt, LPN is a Licensed Practical Nurse in Syracuse, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

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Practice location Address checks out

512 Rosewood Rd
Syracuse, NY 13209
Phone: (315) 491-0181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 270162-1 (NY)

Record details

NPI number1417103771
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedAugust 18, 2008
Last updated in NPPESAugust 18, 2008

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