Individual
MICHELE LOUISE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2017
(337) 981-9257
Mailing address
4801 AMBASSADOR CAFFERY PKWY, LAFAYETTE, LA 70508-6917
(337) 470-2017
(337) 981-9257
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN100683-AP05798
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1816582
—
LA
Enumeration date
06/24/2009
Last updated
05/07/2014
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