Provider Demographics
NPI:1215493929
Name:LANDINGIN, JUDITH DELA VICTORIA (NP)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:DELA VICTORIA
Last Name:LANDINGIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 VAN WYCK DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JCT
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-1640
Mailing Address - Country:US
Mailing Address - Phone:609-510-4674
Mailing Address - Fax:
Practice Address - Street 1:34 VAN WYCK DR
Practice Address - Street 2:
Practice Address - City:PRINCETON JCT
Practice Address - State:NJ
Practice Address - Zip Code:08550-1640
Practice Address - Country:US
Practice Address - Phone:609-936-8851
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-18
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00892500363L00000X
NJ26NR11549700363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner