Individual
VANESSA TEAL LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
8575 HERITAGE PL, DETROIT, MI 48204-2326
(313) 919-5965
Mailing address
8575 HERITAGE PL, DETROIT, MI 48204-2326
(313) 919-5965
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
4704314219
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1346866480
MI
367A00000X
Advanced Practice Midwife
Primary
4704314219
MI
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
06/24/2020
Last updated
03/11/2026
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