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Mr. Edward Leo Reardon JR., LPN
Licensed Practical Nurse in Billerica, Massachusetts
NPI 1063536225

Edward Leo Reardon JR. is a Licensed Practical Nurse based in Billerica, MA. Edward Leo Reardon JR. practices in Billerica, MA and has the professional credentials of LPN. The NPI Number for Edward Leo Reardon JR. is 1063536225 and holds a License No. 58456 (Massachusetts).

The current practice location address for Edward Leo Reardon JR. is 17 Mchugh Ave, Billerica, MA and can be reached out via phone at 978-667-5804.

Location: 17 Mchugh Ave, Billerica, MA, 01821-5941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063536225
Provider Name
Edward Leo Reardon JR.
Credential
LPN
Provider Entity Type
Individual
Gender
Male
Address
17 Mchugh Ave, Billerica, MA, 01821-5941
Phone Number
978-667-5804
Fax Number
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0711233 01 MA INDEPENDENT NURSE
institution
Provider Business Practice Location Address Details
Address
17 Mchugh Ave
City
Billerica
State
Massachusetts
Zip
01821-5941
Phone Number
978-667-5804
Fax Number
person
Provider Business Mailing Address Details
Address
17 Mchugh Ave
City
Billerica
State
Massachusetts
Zip
01821-5941
Phone Number
978-667-5804
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
58456 (Massachusetts)
Definition
An individual 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.
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