Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | AP08967 | LA |
NPI | 1003269515 |
---|---|
Provider Name | Emily P Landry |
First Address | Luling, LA 70070-3094 |
Second Address | New Orleans, LA 70115-6914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2016 |
Last Update Date | 06/09/2017 |