National Provider Identifier

Maryrose Landsiedel, LPN

Maryrose Landsiedel, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Holland, NY and a listed phone number of (716) 537-8200.

NPI 1326917972Holland, NYLicensed Practical Nurse

Profile Overview

NPI
1326917972
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
November 03, 2025
Last Updated
November 03, 2025

Practice Location

  • 103 Canada St
  • Holland, NY 14080-9806

Phone: (716) 537-8200

Mailing Address

  • 11751 Bolton RD
  • Springville, NY 14141-9501

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1326917972
Entity Type
Individual
Last Name
Landsiedel
First Name
Maryrose
Credential
LPN
Mailing Street Address
11751 Bolton RD
Mailing City
Springville
Mailing State
NY
Mailing ZIP Code
14141-9501
Mailing Country
US
Practice Street Address
103 Canada St
Practice City
Holland
Practice State
NY
Practice ZIP Code
14080-9806
Practice Country
US
Practice Phone
(716) 537-8200
Enumeration Date
November 03, 2025
Last Updated
November 03, 2025
Sex
Female
Sole Proprietor
Yes
Certification Date
November 03, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)