Provider Demographics
NPI:1598817470
Name:LANDFRIED, MARSHA ANN (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:ANN
Last Name:LANDFRIED
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 KELSEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-5421
Mailing Address - Country:US
Mailing Address - Phone:724-983-1393
Mailing Address - Fax:724-983-1931
Practice Address - Street 1:1175 KELSEY DRIVE
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-5421
Practice Address - Country:US
Practice Address - Phone:724-983-1393
Practice Address - Fax:724-983-1931
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN215456L163W00000X
OHRN147842163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse