Individual
DONNA M LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2304 HANCOCK DR STE 4, AUSTIN, TX 78756-2540
(512) 407-8444
(512) 407-8097
Mailing address
PO BOX 300087, AUSTIN, TX 78703-0002
(512) 413-8723
(512) 407-7105
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
247688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003074403
—
TX
05
—
003074405
—
TX
01
—
247688
RN LICENSE
TX
01
—
P00014041
MEDICARE RAILROAD
—
01
—
P00121593
MEDICARE RAILROAD
—
Enumeration date
02/15/2006
Last updated
06/05/2015
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