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NPI Code Detail

MEDICARE: ADA MARIA VAN LANDINGHAM

MEDICARE: ADA MARIA VAN LANDINGHAM
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
1363LF0000XFamily Nurse PractitionerARNP.AP.70144120-NPWA

General Provider Information

NPI Number : 1730013434
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADA MARIA VAN LANDINGHAM
Provider Business Mailing Address
First Line : 1708 E 44TH ST
Second Line :
City : TACOMA
State : WA
Zip : 98404-4611
Country : US
Telephone Number : 253-471-4553
Fax Number : 253-474-5395
Provider Business Practice Location Address
First Line : 1708 E 44TH ST
Second Line :
City : TACOMA
State : WA
Zip : 98404-4611
Country : US
Telephone Number : 253-471-4553
Fax Number : 253-474-5395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ ADA MARIA VAN LANDINGHAM ” Practice Location

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