Provider Demographics
NPI:1407284425
Name:LANDING, STEPHANIE RACHEL (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:RACHEL
Last Name:LANDING
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7450 SKIDAWAY RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-6446
Mailing Address - Country:US
Mailing Address - Phone:912-233-6811
Mailing Address - Fax:912-544-0864
Practice Address - Street 1:7450 SKIDAWAY RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-6446
Practice Address - Country:US
Practice Address - Phone:912-233-6811
Practice Address - Fax:912-544-0864
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN170492363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily