| Mrs Crystal Leann Landrum, BC-FNP | |
|
1501 7th St Se Ste A, Decatur, AL 35601-3375 | |
| (256) 355-7665 | |
| Not Available |
| Full Name | Mrs Crystal Leann Landrum |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1501 7th St Se Ste A, Decatur, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851658496 | NPI | - | NPPES |
| 140473 | Medicaid | AL | |
| 511-26863 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1-093034 (Alabama) | Primary |
| Entity Name | Riverside Family Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851652416 PECOS PAC ID: 0042534422 Enrollment ID: O20150112001990 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Crystal Leann Landrum, BC-FNP 1501 7th St Se Ste A, Decatur, AL 35601-3375 Ph: (256) 355-7665 | Mrs Crystal Leann Landrum, BC-FNP 1501 7th St Se Ste A, Decatur, AL 35601-3375 Ph: (256) 355-7665 |
Mary Patricia Brandenburg, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Beltline Pl Sw Ste A1, Decatur, AL 35603 Phone: 256-539-2728 | |
Charles Edward Fortenberry, R.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1103 16th Ave Se, Decatur, AL 35601 Phone: 256-350-0362 | |
Mrs. Natalie Mccay, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2941 Point Mallard Pkwy Se, Suite N, Decatur, AL 35603 Phone: 256-432-2822 Fax: 256-432-2825 | |
Heather R Carter, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1350 14th Ave Se, Decatur, AL 35601 Phone: 256-355-6911 | |
Mrs. Kami Elizabeth Whorton, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1874 Beltline Rd Sw, Decatur, AL 35601 Phone: 256-301-3207 | |
Connesuala Walden, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1241 Pt Mallard Pkwy Ste 410, Decatur, AL 35601 Phone: 256-286-2289 | |
Megan Lynn Sanford, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2422 Danville Rd Sw Ste E, Decatur, AL 35603 Phone: 256-355-9040 Fax: 256-355-9048 |