# KRISTINA LANDRY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396126074
- **Authorized official:** KRISTINA G. LANDRY NP (OWNER/NURSE PRACTITIONER)
- **Authorized official phone:** (337) 506-2294

## Contact information

- **Practice address:** 1257 MAYEAUXVILLE RD, VILLE PLATTE, LA 70586-8409
- **Practice address phone:** (337) 506-2294
- **Practice address fax:** (929) 259-5972
- **Mailing address:** 1257 MAYEAUXVILLE RD, VILLE PLATTE, LA 70586-8409
- **Mailing address phone:** (337) 831-1704
- **Mailing address fax:** (318) 443-9116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | AP04414 | LA | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP04414 | LA | Yes |

## Other

- **Enumeration date:** 06/17/2015
- **Last updated:** 09/02/2021