Landis Bernota
Student in an Organized Health Care Education/Training Program in Gaithersburg, MD. Individual provider (NPI-1).
NPI number1376465641
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1376465641
- Entity type
- Individual (NPI-1)
- Name
- Landis Bernota
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2026
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
24117 Pecan Grove LnGaithersburg, MD 20882-3924
Phone 240-204-4771
Mailing address
24117 Pecan Grove LnGaithersburg, MD 20882-3924
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