Individual
AMBER LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 OLYVIA DR, SAINT JACOB, IL 62281-1567
(618) 520-7204
(618) 520-7204
Mailing address
3635 VISTA AVE, SAINT LOUIS, MO 63110-2539
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041425794
IL
163W00000X
Registered Nurse
2008023105
MO
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2008023105
MO
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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