Individual
MADELINE JEANNE LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Mailing address
5801 BREMO RD, RICHMOND, VA 23226-1907
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95292744
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
0001337544
VA
Other
Enumeration date
08/10/2022
Last updated
08/05/2025
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