Edward Leo Reardon in Billerica - Licensed Practical Nurse
Edward Leo Reardon - NPI 1063536225
Edward Leo Reardon is a Licensed Practical Nurse in Billerica, Massachusetts. Edward Leo Reardon practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Edward Leo Reardon is 1063536225. The last update date is 2007-07-08.
Edward Leo Reardon's current location address is 17 Mchugh Ave, Billerica, Massachusetts. You can contact this provider via phone number 9786675804. The mailing address for Edward Leo Reardon is 17 Mchugh Ave, Billerica, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Leo Reardon |
|---|---|
| Address | 17 Mchugh Ave, Billerica, Massachusetts |
| Phone Number | 9786675804 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | L.P.N. |
NPI Number Detail
| NPI Number | 1063536225 |
|---|---|
| Provider Enumeration Date | 2007-03-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17 Mchugh Ave |
|---|---|
| City | Billerica |
| State | Massachusetts (MA) |
| Post Code | 18215941 |
| Phone Number | 9786675804 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 58456 |
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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 r |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 711233 | MA | INDEPENDENT NURSE |
Post Comment/ Review Below
What is the unique identification code assigned to Edward Leo Reardon by the Centers for Medicare & Medicaid Services?
The Edward Leo Reardon has been issued the NPI (National Provider Identifier) 1063536225. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Edward Leo Reardon is physically located?
The Edward Leo Reardon is situated at the following address: 17 Mchugh Ave, Billerica, MA 18215941.
What is the Edward Leo Reardon's specialty and taxonomy code?
The Edward Leo Reardon's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did Edward Leo Reardon receive its 1063536225 assignment from the Centers for Medicare & Medicaid Services?
The Edward Leo Reardon was assigned its 1063536225 on 2007-03-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Edward Leo Reardon, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Edward Leo Reardon, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.