Landers, Phyllis Nadeau
Landers, Phyllis Nadeau is an individual health care provider with primary practice located at 4222 Fairbanks Dr , Oakwood GA 30566-2811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Landers, Phyllis Nadeau can be contacted via phone (770) 534-6053.Contact Information
Primary practice address
4222 Fairbanks Dr
Oakwood GA 30566-2811
Phone: (770) 534-6053
Fax: (770) 534-6695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN096607 | Georgia |
Profile Details
| NPI number | 1306027255 |
|---|---|
| LBN Legal business name | Landers, Phyllis Nadeau |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 20th, 2007 |
| Last updated | Jul 19th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306027255 | NPPES |
| Georgia | Other | 01372617 | AMERIGROUP |
| Georgia | MEDICAID | 701221561A | AMERIGROUP |
| Georgia | Other | 563030 | AMERIGROUP |
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