Clint L Vanlandingham in Poplar Bluff - Family
Clint L Vanlandingham - NPI 1508838566
Clint L Vanlandingham is a Family in Poplar Bluff, Missouri. Clint L Vanlandingham practices all healthcare services and medical treatments related to Family. The NPI Number for Clint L Vanlandingham is 1508838566. The last update date is 2020-01-27.
Clint L Vanlandingham's current location address is 2600 Kanell Blvd, Poplar Bluff, Missouri. You can contact this provider via phone number 5737854546 and fax number 5737856959. The mailing address for Clint L Vanlandingham is 2600 Kanell Blvd, Poplar Bluff, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clint L Vanlandingham |
|---|---|
| Address | 2600 Kanell Blvd, Poplar Bluff, Missouri |
| Phone Number | 5737854546 |
| Fax Number | 5737856959 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1508838566 |
|---|---|
| Provider Enumeration Date | 2006-02-03 |
| Last Updated Date | 2020-01-27 |
Provider Mailing Address Detail
| Address | 2600 Kanell Blvd |
|---|---|
| City | Poplar Bluff |
| State | Missouri (MO) |
| Post Code | 639013001 |
| Phone Number | 5737854546 |
| Fax Number | 5737856959 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 2014037662 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 309166510 | MO | -- |
Post Comment/ Review Below
What is the Clint L Vanlandingham's 1508838566?
The Clint L Vanlandingham's NPI (National Provider Identifier) Number is 1508838566. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Clint L Vanlandingham's physical address?
The Clint L Vanlandingham is physically located at 2600 Kanell Blvd, in the city of Poplar Bluff, MO, with the postal code 639013001.
What is Clint L Vanlandingham's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Clint L Vanlandingham is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1508838566 to Clint L Vanlandingham?
The Centers for Medicare & Medicaid Services assigned the 1508838566 to Clint L Vanlandingham on 2006-02-03.
As of what date were the details pertaining to Clint L Vanlandingham last refreshed?
The information related to the Clint L Vanlandingham, including its address, specialty, and other relevant details, was last updated on 2020-01-27.