Individual
SANDRA C. LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-7585
Mailing address
200 MILL RD, SUITE 180, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01050
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110107462A
—
MA
05
—
3139529
—
NH
Enumeration date
09/21/2006
Last updated
11/10/2025
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