NPI 1013594928

Ivy Landis

Practitioner Community Health Worker Buckhannon, WV

Practice location

Address: 837 Childers Run Rd, Buckhannon, WV 26201-9658
Phone: (304) 997-3608

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in West Virginia →

Registry record

NPI: 1013594928
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2021
Record last updated: 26 Mar 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.