Individual
KRISTEN ASHLEY LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5018409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912685181
—
NC
Enumeration date
07/07/2023
Last updated
10/16/2023
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