Individual
NANNETTE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
56 NEW DRIFTWAY, SCITUATE, MA 02066-4533
(781) 545-8103
(781) 545-8117
Mailing address
56 NEW DRIFTWAY, SCITUATE, MA 02066-4533
(781) 545-8103
(781) 545-8117
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
151813
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59153
FALLON
MA
01
—
LACN0283
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/27/2006
Last updated
07/08/2007
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