Mr. Edward L Reardon Jr., LPN
Licensed Practical Nurse in Billerica, Massachusetts
1063536225- Practice location
- 17 Mchugh Ave, Billerica, MA 01821-5941
- Phone
- 978-667-5804
- Fax
- —
- Last updated
- July 8, 2007
Edward Leo Reardon is a Licensed Practical Nurse based in Billerica, MA. Edward Leo Reardon practices in Billerica, MA and has the professional credentials of LPN. The NPI Number for Edward Leo Reardon is 1063536225 and holds a License No. 58456 (MA). The current practice location address for Edward Leo Reardon is 17 Mchugh Ave, Billerica, MA 01821-5941 and can be reached out via phone at 978-667-5804.
Provider Profile Details
- NPI Number
- 1063536225
- Provider Name
- Edward Leo Reardon
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 17 Mchugh Ave, Billerica, MA 01821-5941
- Phone Number
- 978-667-5804
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 16, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 17 Mchugh Ave
Billerica, MA 01821-5941 - City
- Billerica
- State
- Massachusetts
- Zip
- 01821-5941
- Phone Number
- 978-667-5804
Provider Business Mailing Address Details
- Address
- 17 Mchugh Ave
Billerica, MA 01821-5941 - City
- Billerica
- State
- MA
- Zip
- 01821-5941
- Phone Number
- 978-667-5804
License Information
- License Number
- 58456
- License State
- MA
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Edward L Reardon Jr., LPN?
The NPI number of Mr. Edward L Reardon Jr., LPN is 1063536225. It was assigned on March 16, 2007 and is currently active in the NPPES registry.
What is the specialty of Mr. Edward L Reardon Jr., LPN?
Mr. Edward L Reardon Jr., LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in MA under license number 58456.
Where does Mr. Edward L Reardon Jr., LPN practice?
The practice location is 17 Mchugh Ave, Billerica, MA 01821-5941. The office can be reached at 978-667-5804 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063536225 directly on the NPPES registry website.