Landis, Nicole L

Landis, Nicole L is an individual health care provider with primary practice located at 2580 Haymaker Rd Ste 102 , Monroeville PA 15146-3500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Landis, Nicole L can be contacted via phone (412) 858-3070.

Contact Information

Primary practice address
2580 Haymaker Rd Ste 102 Monroeville PA 15146-3500
Phone: (412) 858-3070
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA059082 Pennsylvania

Profile Details

NPI number 1831626761
LBN Legal business name Landis, Nicole L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2017
Last updated Nov 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831626761 NPPES
Other 14034537 CAQH

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