Landis, Kristen Ashley

Landis, Kristen Ashley is an sole proprietor health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care, which is considered as her primary health care specialty. Landis, Kristen Ashley can be contacted via phone (919) 350-8000.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1231
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Critical Care 363LN0005X 5018409 North Carolina

Profile Details

NPI number 1912685181
LBN Legal business name Landis, Kristen Ashley
Credentials NNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2023
Last updated Oct 16th, 2023 - about last year

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 1912685181 NPPES
North Carolina MEDICAID 1912685181

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