1. Home
  2. Directory
  3. Virginia
  4. Manassas Park
  5. Nurse Practitioner
  6. NPI Profile

ANDREA M LANDIS PHD, RN, FNP
NPI 1104496389
Nurse Practitioner - Family in Manassas Park, VA

Active since June 29, 2021
99 TREMONT ST, MANASSAS PARK, VA 20111(703) 993-5880 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea M Landis Phd, Rn, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA M LANDIS PHD, RN, FNP (NPI 1104496389) is an individual family provider in Manassas Park, Virginia, licensed in Virginia (0024164141) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1104496389
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANDREA M LANDISCredential: PHD, RN, FNP
Location Address99 TREMONT STManassas Park, VA 20111-1800
Mailing Address344 Maple Ave W # 128Vienna, VA 22180-5612 · (206) 499-5390
Phone(703) 993-5880
Sole ProprietorNo
Enumeration DateJune 29, 2021
NPPES CertifiedJune 29, 2021
✔ NPI 1104496389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024164141
99 TREMONT ST, Manassas Park, VA 20111
Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATELYN MARIE WHITTINGHAM
Student in an Organized Health Care Education/Training Program
99 TREMONT ST
MANASSAS PARK, VA 20111
Manassas Park City (703) 993-5880
IRENIOUS POGNIBAL SUGLO
Nurse Practitioner (Family)
99 TREMONT ST
MANASSAS PARK, VA 20111
Manassas Park City (571) 242-4645
HIWOT DANIEL
Student in an Organized Health Care Education/Training Program
99 TREMONT ST
MANASSAS PARK, VA 20111
Manassas Park City (703) 993-5880
BEVERLY ANN ADJOA SACKEY
Registered Nurse
99 TREMONT ST
MANASSAS PARK, VA 20111
Manassas Park City (703) 993-5880
DIONA MARTYN PHD, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
99 TREMONT ST
MANASSAS PARK, VA 20111
Manassas Park City (703) 993-5880
IRENE REGALARIO
Student in an Organized Health Care Education/Training Program
99 TREMONT ST
MANASSAS PARK, VA 20111
Manassas Park City (703) 993-5880
LILY RACEY-DENNIS
Student in an Organized Health Care Education/Training Program
99 TREMONT ST
MANASSAS PARK, VA 20111
Manassas Park City (588) 070-3993
LAURA HOWARD
Student in an Organized Health Care Education/Training Program
99 TREMONT ST
MANASSAS PARK, VA 20111
Manassas Park City (703) 993-5880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Landis's NPI number?

The NPI number for Andrea Landis is 1104496389. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Andrea Landis located?

Andrea Landis practices at 99 Tremont St, Manassas Park, VA 20111. The listed phone number is (703) 993-5880.

What is Andrea Landis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Andrea Landis was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.