Landis, Vicki Lynn

Landis, Vicki Lynn is an individual health care provider with primary practice located at 333 Revolutionary Trl , Fairfax SC 29827-7109. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Landis, Vicki Lynn can be contacted via phone (803) 632-2533.

Contact Information

Primary practice address
333 Revolutionary Trl Fairfax SC 29827-7109
Phone: (803) 632-2533
Fax: (803) 632-3285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 27377 South Carolina

Profile Details

NPI number 1194067066
LBN Legal business name Landis, Vicki Lynn
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2013
Last updated Jan 11th, 2024 - 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 1194067066 NPPES
South Carolina MEDICAID NP9418
South Carolina Other SCP955
South Carolina Other 27377

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