Landrum, Theresa E

Landrum, Theresa E is an individual health care provider with primary practice located at 2400 Avalon Ave , Muscle Shoals AL 35661. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Landrum, Theresa E can be contacted via phone (256) 386-0808.

Contact Information

Primary practice address
2400 Avalon Ave Muscle Shoals AL 35661
Fax: (256) 389-8904
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1030759 Alabama

Profile Details

NPI number 1720189756
LBN Legal business name Landrum, Theresa E
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Jun 21st, 2018 - about 8 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 1720189756 NPPES
Alabama Other 051119112 BLUECROSS

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