Individual
MIKALA ANNE LANDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 792-3581
Mailing address
130 W 2ND ST, GLIDDEN, IA 51443-1076
(712) 210-0473
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G154694
IA
Other
Enumeration date
05/31/2019
Last updated
05/31/2019
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