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NPI Code Detail

MEDICARE: ROBIN LEIGH LANDGRAF RN CPNP-PC

MEDICARE: ROBIN LEIGH LANDGRAF RN CPNP-PC
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
1363LP0200XPediatric Nurse Practitioner568802TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710948005
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN LEIGH LANDGRAF RN CPNP-PC
Provider Business Mailing Address
First Line : 7601 PRESTON RD
Second Line :
City : PLANO
State : TX
Zip : 75024-3214
Country : US
Telephone Number : 469-303-0075
Fax Number : 469-303-4043
Provider Business Practice Location Address
First Line : 7601 PRESTON RD
Second Line :
City : PLANO
State : TX
Zip : 75024-3214
Country : US
Telephone Number : 469-303-0075
Fax Number : 469-303-4043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 08/20/2024

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