National Provider Identifier
Meredith Leigh Edholm, LPN
Meredith Leigh Edholm, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Tonawanda, NY and a listed phone number of (716) 694-6805.
Profile Overview
- NPI
- 1225649320
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- August 12, 2020
- Last Updated
- August 12, 2020
Practice Location
- 130 Syracuse St
- Tonawanda, NY 14150-5430
Phone: (716) 694-6805
Mailing Address
- 4280 Chestnut Ridge RD Apt F3
- Amherst, NY 14228-3112
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1225649320
- Entity Type
- Individual
- Last Name
- Edholm
- First Name
- Meredith
- Middle Name
- Leigh
- Credential
- LPN
- Mailing Street Address
- 4280 Chestnut Ridge RD Apt F3
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14228-3112
- Mailing Country
- US
- Mailing Phone
- (716) 550-1463
- Practice Street Address
- 130 Syracuse St
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-5430
- Practice Country
- US
- Practice Phone
- (716) 694-6805
- Enumeration Date
- August 12, 2020
- Last Updated
- August 12, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 12, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)