Individual
BETHANY PARMER LANDGRAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-C, IBCLC
Contact information
Practice address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Mailing address
3016 MILLER RD, WASHINGTON BORO, PA 17582-9717
(717) 471-2019
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
RN529339L
PA
363LF0000X
Family Nurse Practitioner
Primary
SPO26635
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SPO26635
CRNP (FNP-C) LICENSE
PA
Enumeration date
02/21/2012
Last updated
11/18/2022
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