Individual
CHRISTINA MARIE LANDECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
631 ALLENWOOD LOOP, THE VILLAGES, FL 32162-1004
(352) 259-4705
Mailing address
631 ALLENWOOD LOOP, THE VILLAGES, FL 32162-1004
(352) 259-4705
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP 1829532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2007000083-23
ANCC GERI. BD. CERT.
—
01
—
AG81OZ
MEDICARE PTAN
FL
01
—
ARNP 1829532
ARNP LICENSE NUMBER
FL
Enumeration date
04/16/2007
Last updated
06/17/2011
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