| Ellen Dunn Landreth, FNP | |
|
4317 Seven Lakes Plaza, West End, NC 27376 | |
| (910) 782-9456 | |
| Not Available |
| Full Name | Ellen Dunn Landreth |
|---|---|
| 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 |
|---|---|---|---|
| 1548966500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | LAND-B6ZZC (North Carolina) | Primary |
| Entity Name | Pai Participant 29 Pc |
|---|---|
| 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 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407117625 PECOS PAC ID: 5597912626 Enrollment ID: O20230124003094 |
| Entity Name | Woundswift, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073380515 PECOS PAC ID: 4486099801 Enrollment ID: O20240226001244 |
| Entity Name | Wound Management Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20240718001831 |
| Mailing Address | Practice Location Address |
|---|---|
| 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, PMHNP 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 |