MEDICARE: MS. JOYCE ANN LANDERS A.P.N,

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	A.P.N. 139	NV

General Provider Information

NPI Number	:	1801824776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOYCE ANN LANDERS A.P.N,

Provider Business Mailing Address
First Line	:	3232 DAYFLOWER ST
Second Line	:	UNIT A
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3775
Country	:	US
Telephone Number	:	702-898-6855
Fax Number	:	702-898-6855

Provider Business Practice Location Address
First Line	:	7371 W CHARLESTON BLVD
Second Line	:	STE 120
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-1575
Country	:	US
Telephone Number	:	702-682-5990
Fax Number	:	702-471-7411

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	07/08/2007

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