Individual
ANDREA GAYE LANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
105 FRESH MEADOW DR, TROPHY CLUB, TX 76262-5530
(817) 907-6553
Mailing address
105 FRESH MEADOW DR, TROPHY CLUB, TX 76262-5530
(817) 907-6553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
559141
TX
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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