Individual
MARK LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
700 PRIDES XING STE 200, NEWARK, DE 19713-6109
(302) 998-0300
(302) 543-8456
Mailing address
700 PRIDES XING STE 200, NEWARK, DE 19713-6109
(302) 998-0300
(302) 543-8456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
L1-0026969
DE
Other
Enumeration date
05/01/2007
Last updated
08/17/2020
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