Individual
HEATHER LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
614 HOWARD ST, BOONE, NC 28608-0020
(828) 262-3100
(828) 262-6958
Mailing address
614 HOWARD ST, BOONE, NC 28608-0020
(828) 262-3100
(828) 262-6958
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
5012768
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5012768
NURSE PRACTITIONER
NC
Enumeration date
02/04/2020
Last updated
02/05/2020
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