MEDICARE: LANDON ELIZABETH GIRVIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	19361	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19361	OTHER	NC	MASSAGE THERAPIST LICENSE

General Provider Information

NPI Number	:	1194433391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANDON ELIZABETH GIRVIN

Provider Business Mailing Address
First Line	:	504 KEYS LN
Second Line	:
City	:	CAROLINA BCH
State	:	NC
Zip	:	28428-4730
Country	:	US
Telephone Number	:	808-633-3943
Fax Number	:

Provider Business Practice Location Address
First Line	:	915 LAKE PARK BLVD N
Second Line	:
City	:	CAROLINA BCH
State	:	NC
Zip	:	28428-4851
Country	:	US
Telephone Number	:	910-448-4965
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	11/07/2022

Similar Medicare Providers

1679634083 — SPEECH THERAPY PLUS, INC.
Practice Location Address:

105 FLORIDA AVE , UNIT 2
CAROLINA BCH, NC
28428-5802

Practice Phone: 252-633-6770
Practice Fax: 877-335-6220

1831293935 — DR. WALTER J WULF DDS PA
Practice Location Address:

2253 CAROLINA BCH RD
WILMINGTON, NC
28401

Practice Phone: 910-343-0830
Practice Fax: 910-343-8559

1740942390 — ASCEND WITH ABA PLLC
Practice Location Address:

429 CAROLINA AVE
VIRGINIA BCH, VA
23451-4604

Practice Phone: 757-685-1384
Practice Fax:

1700372620 — MEREDITH MORROW MILLER PMHNP
Practice Location Address:

1601 MACKEREL LN
CAROLINA BEACH, NC
28428-5706

Practice Phone: 920-810-1122
Practice Fax:

1144212507 — PAULA CONAWAY BRUNER PA
Practice Location Address:

1300 BRIDGE BARRIER RD STE 2
CAROLINA BEACH, NC
28428-3939

Practice Phone: 910-458-4101
Practice Fax: 910-458-5617

1306813498 — ROBERT A BUCCIERE LCSW
Practice Location Address:

510 HAMLET AVE
CAROLINA BEACH, NC
28428-5015

Practice Phone: 801-923-2075
Practice Fax:

Directions to “ LANDON ELIZABETH GIRVIN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.