Ellen Dunn Landreth, FNP | |
4317 Seven Lakes Plaza, West End, NC 27376 | |
(910) 782-9456 | |
Not Available |
Full Name | Ellen Dunn Landreth |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4317 Seven Lakes Plaza, West End, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1548966500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | LAND-B6ZZC (North Carolina) | Primary |
Entity Name | Pai Participant 29, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245813757 PECOS PAC ID: 6002216215 Enrollment ID: O20210609002615 |
Entity Name | Universal Health Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407117625 PECOS PAC ID: 5597912626 Enrollment ID: O20230124003094 |
Mailing Address | Practice Location Address |
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Ellen Dunn Landreth, FNP 380 Kim Ln, Carthage, NC 28327-8804 Ph: (910) 676-2649 | Ellen Dunn Landreth, FNP 4317 Seven Lakes Plaza, West End, NC 27376 Ph: (910) 782-9456 |
Tatyana Tools, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4204 Murdocksville Rd, West End, NC 27376 Phone: 910-255-0055 Fax: 102-550-0060 | |
Mrs. Jennifer Harvey, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 435 Pleasantville Ln, West End, NC 27376 Phone: 843-206-4300 | |
Amanda Higby Martin, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1035c Seven Lakes Dr, West End, NC 27376 Phone: 910-673-0045 Fax: 910-673-5705 |