Individual
ENID S LANDRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 LOCUST ST APT 40-B1, WOBURN, MA 01801-3871
(617) 840-6561
Mailing address
111 LOCUST ST APT 40-B1, WOBURN, MA 01801-3871
(617) 840-6561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2287542
MA
363L00000X
Nurse Practitioner
Primary
RN2287542
MA
Other
Enumeration date
07/11/2021
Last updated
01/06/2023
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