Active NPIIndividual providerSole proprietor

Enid S Landreth, RN

Nurse Practitioner in Woburn, Massachusetts

NPI Number1811569825
Practice location
111 Locust St Apt 40-B1, Woburn, MA 01801-3871
Fax
—
Last updated
January 6, 2023

Enid S Landreth is a Nurse Practitioner based in Woburn, MA. Enid S Landreth practices in Woburn, MA and has the professional credentials of RN. The NPI Number for Enid S Landreth is 1811569825 and holds a License No. RN2287542 (MA). The current practice location address for Enid S Landreth is 111 Locust St Apt 40-B1, Woburn, MA 01801-3871 and can be reached out via phone at 617-840-6561.

Provider Profile Details

NPI Number
1811569825
Provider Name
Enid S Landreth
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
111 Locust St Apt 40-B1, Woburn, MA 01801-3871
Phone Number
617-840-6561
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 11, 2021
Last Update Date
January 6, 2023
Certification Date
January 6, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Locust St Apt 40-B1
Woburn, MA 01801-3871
City
Woburn
Zip
01801-3871
Phone Number
617-840-6561
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
111 Locust St Apt 40-B1
Woburn, MA 01801-3871
City
Woburn
State
MA
Zip
01801-3871
Phone Number
617-840-6561

License Information

License Number (1)
RN2287542
License State (1)
MA
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
RN2287542
License State (2)
MA
Taxonomy (2)
Nurse Practitioner · 363L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Enid S Landreth, RN?

The NPI number of Enid S Landreth, RN is 1811569825. It was assigned on July 11, 2021 and is currently active in the NPPES registry.

What is the specialty of Enid S Landreth, RN?

Enid S Landreth, RN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in MA under license number RN2287542.

Where does Enid S Landreth, RN practice?

The practice location is 111 Locust St Apt 40-B1, Woburn, MA 01801-3871. The office can be reached at 617-840-6561 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811569825 directly on the NPPES registry website.

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