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Individual

ASHLEY MARIE LANDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
3015 3RD AVE SE, ABERDEEN, SD 57401-5418
(605) 226-5500
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP001703
SD
363LF0000X
Family Nurse Practitioner
CP001703
SD

Other

Enumeration date
01/12/2020
Last updated
06/14/2024
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