Individual
HEATHER MARIE LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 430-5746
(302) 430-5507
Mailing address
640 S. STATE ST, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 430-5746
(302) 430-5507
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A00787
DE
367500000X
Certified Registered Nurse Anesthetist
R177819
MD
Other
Enumeration date
12/15/2009
Last updated
10/07/2024
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