Individual
HALEY ANGELLE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2770 3RD AVE STE 350, LAKE CHARLES, LA 70601-0404
(337) 494-2750
(337) 494-2760
Mailing address
PO BOX 122309 DEPT 2309, DALLAS, TX 75312-2309
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09687
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2466755
—
LA
01
—
AP09687
STATE LICENSE
LA
Enumeration date
01/26/2018
Last updated
04/27/2022
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