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Tara Jean Edersheim
Licensed Practical Nurse in Auburn, New York
NPI 1881231926

Tara Jean Edersheim is a Licensed Practical Nurse based in Auburn, NY. Tara Jean Edersheim practices in Auburn, NY. The NPI Number for Tara Jean Edersheim is 1881231926 and holds a License No. 301264 (New York).

The current practice location address for Tara Jean Edersheim is 17 E Genesee St Ste 1, Auburn, NY and can be reached out via phone at 315-253-9795.

Location: 17 E Genesee St Ste 1, Auburn, NY, 13021-4068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881231926
Provider Name
Tara Jean Edersheim
Credential
Provider Entity Type
Individual
Gender
Female
Address
17 E Genesee St Ste 1, Auburn, NY, 13021-4068
Phone Number
315-253-9795
Fax Number
Provider Enumeration Date
12/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
301264 01 NY LPN
institution
Provider Business Practice Location Address Details
Address
17 E Genesee St Ste 1
City
Auburn
State
New York
Zip
13021-4068
Phone Number
315-253-9795
Fax Number
person
Provider Business Mailing Address Details
Address
17 E Genesee St Ste 1
City
Auburn
State
New York
Zip
13021-4068
Phone Number
315-253-9795
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
301264 (New York)
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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