Individual
ALLYSON RAE LANDPHAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1753 W RIDGEWAY AVE STE 111, WATERLOO, IA 50701-4588
(319) 233-6211
(319) 233-2164
Mailing address
PO BOX 2660, WATERLOO, IA 50704-2660
(319) 233-6211
(319) 233-2164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A095751
IA
363LA2200X
Adult Health Nurse Practitioner
Primary
A095751
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0453670
—
IA
01
—
421417307F4
JOHN DEERE HEALTH INS PLA
IA
01
—
42583
WELLMARK INS PLAN
IA
Enumeration date
05/19/2006
Last updated
04/16/2026
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