Individual
MS. BRENDA H LANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
777 NORTH STREET, PITTSFIELD, MA 01201
(413) 499-8531
(413) 499-8560
Mailing address
PO BOX 30, GREAT BARRINGTON, MA 01230
(413) 528-9311
(413) 644-0274
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
197068
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110111800A
—
MA
Enumeration date
05/11/2006
Last updated
10/24/2017
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