Individual
HEATHER LANDIS
Active
Individual
HEATHER LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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