Landerman, Carol R

Landerman, Carol R is an individual health care provider with primary practice located at 1330 Cedar Ln Ste 900 , Tullahoma TN 37388-2286. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Landerman, Carol R can be contacted via phone (931) 455-2674.

Contact Information

Primary practice address
1330 Cedar Ln Ste 900 Tullahoma TN 37388-2286
Phone: (931) 455-2674
Fax: (931) 455-8983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000018032 Tennessee

Profile Details

NPI number 1417385212
LBN Legal business name Landerman, Carol R
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2013
Last updated Sep 18th, 2014 - about 10 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 1417385212 NPPES
Tennessee MEDICAID Q004882

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