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Mrs. Vicki Lynn Landis, WHNP-BC
Women's Health Nurse Practitioner in Fairfax, South Carolina
NPI 1194067066

Vicki Lynn Landis is a Women's Health Nurse Practitioner based in Barnwell, SC and is specialized in Women's Health. Vicki Lynn Landis practices in Fairfax, SC and has the professional credentials of WHNP-BC. The NPI Number for Vicki Lynn Landis is 1194067066 and holds a License No. 27377 (South Carolina).

The current practice location address for Vicki Lynn Landis is 333 Revolutionary Trl, Fairfax, SC and can be reached out via phone at 803-632-2533 and via fax at 803-632-3285.

Location: 333 Revolutionary Trl, Fairfax, SC, 29812-1529
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Provider Profile Details
NPI Number
1194067066
Provider Name
Vicki Lynn Landis
Credential
WHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
333 Revolutionary Trl, Fairfax, SC, 29812-1529
Phone Number
803-632-2533
Fax Number
803-632-3285
Provider Enumeration Date
03/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP9418 05 SC
SCP955 01 SC MEDICARE
27377 01 SC MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
333 Revolutionary Trl
City
State
Zip
29827-7109
Phone Number
803-632-2533
Fax Number
803-632-3285
person
Provider Business Mailing Address Details
Address
333 Revolutionary Trl
City
State
Zip
29827-7109
Phone Number
803-632-2533
Fax Number
803-632-3285
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
27377 (South Carolina)
Definition
Definition to come...
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