Provider Demographics
NPI:1265955587
Name:LANDSBERG, HANNAH EMILY (NP)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:EMILY
Last Name:LANDSBERG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:881 COMMONWEALTH AVENUE
Mailing Address - Street 2:WEST
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:508-572-4756
Mailing Address - Fax:617-353-3577
Practice Address - Street 1:881 COMMONWEALTH AVENUE
Practice Address - Street 2:WEST
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215
Practice Address - Country:US
Practice Address - Phone:508-572-4756
Practice Address - Fax:617-353-3577
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN2307084363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily