Provider Demographics
NPI:1801824776
Name:LANDERS, JOYCE ANN (APN,)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:ANN
Last Name:LANDERS
Suffix:
Gender:F
Credentials:APN,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3232 DAYFLOWER ST
Mailing Address - Street 2:UNIT A
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-3775
Mailing Address - Country:US
Mailing Address - Phone:702-898-6855
Mailing Address - Fax:702-898-6855
Practice Address - Street 1:7371 W CHARLESTON BLVD
Practice Address - Street 2:STE 120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1575
Practice Address - Country:US
Practice Address - Phone:702-682-5990
Practice Address - Fax:702-471-7411
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVA.P.N. 139363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV39260Medicare ID - Type Unspecified