Individual
MRS. TAYLOR AUTUMN LANDKAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1950 CENTER CREEK DR # 100, FAIRMONT, MN 56031-3428
(507) 236-9913
Mailing address
1950 CENTER CREEK DR, STE 100, FAIRMONT, MN 56031-3428
(507) 238-4968
(507) 238-1533
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153956
IA
163W00000X
Registered Nurse
2453095
MN
363LF0000X
Family Nurse Practitioner
Primary
8632
MN
Other
Enumeration date
10/08/2021
Last updated
10/14/2021
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