# SANDRA LANDRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396295044
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 239164-9 | MN | — |
| 163WP0200X | Pediatric Registered Nurse | 839596 | TX | — |
| 363L00000X | Nurse Practitioner | 4796 | MN | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1006644 | TX | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | CNP 4796 | MN | — |

## Other

- **Enumeration date:** 10/06/2016
- **Last updated:** 11/25/2024
