Individual
MINDY LANDAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-6841
(410) 328-6896
Mailing address
PO BOX 62602, BALTIMORE, MD 21264-2602
(410) 328-6841
(410) 328-6896
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R094908
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011643200
—
MD
01
—
S053-0080
CAREFIRST BC/BS
MD
Enumeration date
11/08/2006
Last updated
03/28/2013
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