LAVEA ANMARIE LANDRUM


Address: 1121 Surrey Dr, Desoto, TX 75115-8121
Phone: 5806478420

LAVEA ANMARIE LANDRUM (NPI# 1457703779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457703779
Entity Type Individual
Full Name LAVEA ANMARIE LANDRUM
Credential APRN, FNP-BC
Practice Address 1121 Surrey Dr
Desoto
TX 75115-8121
Mailing Address 30 W Monroe St
Chicago
IL 60603-2495
Practice Telephone 5806478420
Mailing Telephone 2144255695
Enumeration Date 2016-07-11
Last Update Date 2020-08-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP131357 TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1213 E Trinity Mills Rd Ste 173, Carrollton, TX 750061446 9729621296
4801 S Cooper St, Arlington, TX 760175928 5806478420
8840 Benbrook Blvd Ste 101, Benbrook, TX 761263440 8178137101

Office Location

Street Address 1121 SURREY DR
City DESOTO
State TX
Zip Code 75115-8121

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548860257 Emeka Abazie Dds Pa Dentist 1001 N. Beckley, Suite 304, Desoto, TX 75115 2020-10-30
1407453384 Heather Mcdowell Massage Therapist 100 Bob White St # 3, Desoto, TX 75115 2020-10-05
1295201580 Daniel Max & Marcandrea, LLC Optometrist 1309 E. Pleasant Run Rd, Desoto, TX 75115 2018-10-15
1316432180 Texas Home Health Group of De Soto, LLC Home Health 911 York Drive, Suite 203, De Soto, TX 75115 2018-06-25
1033606694 Dental Health Associates of Texas, PC Dentist 1001 N Beckley, Desoto, TX 75115 2018-04-19
1023516093 Joseph Chinaecherem Anya Pharmacist 805 Raintree Ln, Desoto, TX 75115 2018-01-25
1396253837 Medical Care Innovation, P.C. Clinic/Center 2019 N Interstate 35 E, Desoto, TX 75115 2018-01-18
1124534888 Herlonda Dotson Counselor 620 Candelila Drive, Desoto, TX 75115 2017-12-18
1053839548 Floristene Johnson Nutritionist 1353 Armstrong Drive, Desoto, TX 75115 2017-09-05
1699290577 Dlb Pharmacy LLC Pharmacy 1801 N Hampton, Suite 340, Desoto, TX 75115 2017-08-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477178267 Zakiya Muse Nurse Practitioner 932 E Danbury Dr, Desoto, TX 75115-5562 2020-06-08
1982237228 Best Quality Healthcare Nurse Practitioner 1321 Mountain Laurel Ln, Desoto, TX 75115-5341 2020-02-14
1942830708 Angelei Guzman Mercado Nurse Practitioner 2505 Bolton Boone Dr Ste 101, Desoto, TX 75115-2097 2020-01-21
1649828534 Shoshauna Franklin Nurse Practitioner 1117 Beeblossom Dr, Desoto, TX 75115-6648 2019-09-03
1073170668 Jennifer Mccormack Nurse Practitioner 2715 Bolton Boone Dr Ste B, Desoto, TX 75115-2079 2019-05-20
1093285504 Kikelomo Omolola Dawotola Nurse Practitioner 1008 Angie Ln, Desoto, TX 75115-3870 2018-11-27
1295222024 Tisa D Collins-douglas Nurse Practitioner 617 Inglewood Ct, Desoto, TX 75115-6321 2018-04-17
1578062089 Valarie Denise Crawford Nurse Practitioner 1701 N Hampton Rd Ste B, Desoto, TX 75115-2387 2018-02-09
1699220707 Katherine Anne Williams Johnson Nurse Practitioner 947 Scotland Dr, Suite #107, Desoto, TX 75115-2090 2016-08-18
1730536335 Dianna Harris Nurse Practitioner 1208 Primrose Ct, Desoto, TX 75115-2776 2016-05-24
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Competitor

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City DESOTO
Zip Code 75115

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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