Individual
THERESE A LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3130 ELLIS ST, BELLINGHAM, WA 98225-1904
(360) 734-4404
Mailing address
3130 ELLIS ST, BELLINGHAM, WA 98225-1904
(360) 734-4404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00168143
WA
163WG0000X
General Practice Registered Nurse
Primary
AP30007538
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9639998
—
WA
Enumeration date
11/05/2008
Last updated
11/05/2008
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