Individual
JANUARY MARIE LANDAETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
926 MAIN ST, NASHVILLE, TN 37206-3614
(615) 436-9060
(615) 235-9725
Mailing address
926 MAIN ST, NASHVILLE, TN 37206-3614
(615) 585-1181
(615) 235-9725
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
ARNP 9265970
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9265970
FL
Other
Enumeration date
07/18/2014
Last updated
09/09/2024
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