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Individual

KRISTINA G. LANDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1257 MAYEAUXVILLE RD, VILLE PLATTE, LA 70586-8409
(337) 506-2294
Mailing address
1008 W MAIN ST, VILLE PLATTE, LA 70586-4208
(337) 506-2294

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP04414
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP04414
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1342416
LA
Enumeration date
07/31/2006
Last updated
09/01/2021
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