Healthcare Provider Details

I. General information

NPI: 1124781521
Provider Name (Legal Business Name): HOPE ANN LANDRY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date: 02/27/2026
Reactivation Date: 08/20/2026

III. Provider practice location address

3600 W ORCHARD CT
VISALIA CA
93277-7083
US

IV. Provider business mailing address

3600 W ORCHARD CT
VISALIA CA
93277-7083
US

V. Phone/Fax

Practice location:
  • Phone: 559-894-5361
  • Fax:
Mailing address:
  • Phone: 559-894-5361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number232390
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: