Individual
BENJAMIN ANDREW LANDRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
7005 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4311
(505) 361-2634
Mailing address
7005 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4311
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
306150
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
64687
NM
Other
Enumeration date
10/28/2022
Last updated
05/12/2024
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