LANDIE SUFRALIEN
NPI 1417880840
Nurse Practitioner - Family in Crawfordville, FL
Active since June 05, 2026
About Landie Sufralien NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LANDIE SUFRALIEN (NPI 1417880840) is an individual family provider in Crawfordville, Florida, licensed in Florida (F06260354) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1417880840
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLANDIE SUFRALIEN
Location Address110 MELALEUCA DRCrawfordville, FL 32327-4963
Mailing Address501 S Blair Stone Rd Apt 1621Tallahassee, FL 32301-3033 · (850) 688-5083
Phone(850) 410-1895
Sole ProprietorNo
Enumeration DateJune 5, 2026
NPPES CertifiedJune 5, 2026
✔ NPI 1417880840 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 FL · F06260354
110 MELALEUCA DR, Crawfordville, FL 32327
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
110 MELALEUCA DR
CRAWFORDVILLE, FL 32327
CRAWFORDVILLE, FL 32327
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417880840, enumerated as an "individual" on June 05, 2026.
The provider is located at 110 MELALEUCA DR CRAWFORDVILLE, FL 32327 and the phone number is (850) 410-1895.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.