Landry, Amy W.

Landry, Amy W. is an individual health care provider with primary practice located at 1103 Kaliste Saloom Rd Suite 304, Lafayette LA 70508-5783. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Landry, Amy W. can be contacted via phone (337) 988-5646.

Contact Information

Primary practice address
1103 Kaliste Saloom Rd Suite 304 Lafayette LA 70508-5783
Phone: (337) 988-5646
Fax: (337) 988-4298
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP01528 Louisiana

Profile Details

NPI number 1326023672
LBN Legal business name Landry, Amy W.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Aug 2nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326023672 NPPES
Louisiana MEDICAID 1981788

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