Individual
COURTNEY LANDGRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
211 SAINT FRANCIS DR, CAPE GIRARDEAU, MO 63703-5049
(573) 331-3000
Mailing address
585 COUNTY ROAD 324, CAPE GIRARDEAU, MO 63701-9785
(573) 270-2109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021021980
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2006023160
REGISTERED NURSE
MO
01
—
2021021980
CERTIFIFED NURSE PRACTITIONER
MO
Enumeration date
07/04/2021
Last updated
07/04/2021
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