Theresa E Landrum, CRNP | |
2400 Avalon Ave, Muscle Shoals, AL 35661 | |
(256) 386-0808 | |
(256) 389-8904 |
Full Name | Theresa E Landrum |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2400 Avalon Ave, Muscle Shoals, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720189756 | NPI | - | NPPES |
051119112 | Other | AL | BLUECROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1030759 (Alabama) | Primary |
Entity Name | Avalon Medical Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730149071 PECOS PAC ID: 3678566189 Enrollment ID: O20040408000138 |
Entity Name | Alabama Em-i Medical Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013304336 PECOS PAC ID: 9234042011 Enrollment ID: O20081202000141 |
Entity Name | Curana Health Of Alabama Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144450347 PECOS PAC ID: 2264681220 Enrollment ID: O20121008000018 |
Entity Name | Genesis Eldercare Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598181349 PECOS PAC ID: 9830002534 Enrollment ID: O20140926000436 |
Entity Name | Gps Physician Group, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881109452 PECOS PAC ID: 9739447400 Enrollment ID: O20180517001257 |
Mailing Address | Practice Location Address |
---|---|
Theresa E Landrum, CRNP 2400 Avalon Ave, Muscle Shoals, AL 35661-3164 Ph: (256) 386-0808 | Theresa E Landrum, CRNP 2400 Avalon Ave, Muscle Shoals, AL 35661 Ph: (256) 386-0808 |
Kristy Miles, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 108 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-389-9300 | |
Mr. Thaddeus Jason Boughton, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1110 E 6th Street Suite E, Muscle Shoals, AL 35661 Phone: 256-314-2431 Fax: 256-314-2435 | |
Mrs. Melissa Anne Aycock, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104a Physicians Dr, Muscle Shoals, AL 35661 Phone: 256-383-6070 Fax: 256-381-4022 | |
Jessica Byrd, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 716 State St, Muscle Shoals, AL 35661 Phone: 256-381-6963 Fax: 256-826-0303 | |
Laura Geneva Gilmer, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 210 Avalon Ave, Muscle Shoals, AL 35661 Phone: 256-826-1001 Fax: 256-978-5118 | |
Elizabeth Anne Raper, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Avalon Ave, Suite B, Muscle Shoals, AL 35661 Phone: 256-386-0809 Fax: 256-383-8000 | |
Stacy Davis, ANCC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 503 W State St, Muscle Shoals, AL 35661 Phone: 256-978-4441 |