MEDICARE: ANGELA LANDRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	4704383685	MI

General Provider Information

NPI Number	:	1063379014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA LANDRY

Provider Business Mailing Address
First Line	:	3139 E BALDWIN RD
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-7374
Country	:	US
Telephone Number	:	810-445-5300
Fax Number	:

Provider Business Practice Location Address
First Line	:	3139 E BALDWIN RD
Second Line	:
City	:	GRAND BLANC
State	:	MI
Zip	:	48439-7374
Country	:	US
Telephone Number	:	810-445-5300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	06/15/2026

Similar Medicare Providers

1447942214 — DENISE LE DMD
Practice Location Address:

1215 ARKANSAS LN STE 100
GRAND PRAIRIE, TX
75052-7374

Practice Phone: 469-701-2344
Practice Fax:

1215862081 — CHELSEA PAULL
Practice Location Address:

10801 S SAGINAW ST STE D
GRAND BLANC, MI
48439-8126

Practice Phone: 810-771-4074
Practice Fax:

1770268120 — JAMES VICTOR MANGAN LPC
Practice Location Address:

8149 GREEN VALLEY DR
GRAND BLANC, MI
48439-8171

Practice Phone: 616-987-0883
Practice Fax:

1033807789 — DR. SPENCER RYAN COPELAND DO
Practice Location Address:

1 GENESYS PKWY
GRAND BLANC, MI
48439-8065

Practice Phone: 810-606-5000
Practice Fax:

1487588307 — MELISSA SUE DAUSMAN
Practice Location Address:

10751 S SAGINAW ST STE E
GRAND BLANC, MI
48439-8169

Practice Phone: 586-404-9400
Practice Fax:

1285568006 — KEVIN OCONNOR DO
Practice Location Address:

1 GENESYS PKWY
GRAND BLANC, MI
48439-8065

Practice Phone: 810-606-5000
Practice Fax:

Directions to “ ANGELA LANDRY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.