Individual
MR. SCOTT PAUL LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NNP, APRN
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 230-1682
(985) 230-1682
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-6316
(985) 230-6830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN096725
LA
363LN0000X
Neonatal Nurse Practitioner
Primary
AP04114
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1193445
—
LA
Enumeration date
07/25/2006
Last updated
09/25/2017
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