Individual
CHANEY LANDGRAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
704 CROMWELL DR STE A, GREENVILLE, NC 27858-5894
(252) 228-4088
(919) 457-1433
Mailing address
704 CROMWELL DR STE A, GREENVILLE, NC 27858-5894
(252) 228-4088
(919) 457-1433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
371191
NC
163W00000X
Registered Nurse
871023
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1096162
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5019594
NC
Other
Enumeration date
09/29/2022
Last updated
10/07/2025
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