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NPI Code Detail

MEDICARE: COLBY DAVID LANDRY CRNA

MEDICARE: COLBY DAVID LANDRY CRNA
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
1367500000XCertified Registered Nurse Anesthetist245083LA
2163W00000XRegistered NurseRN159074LA
3390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1255130449
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLBY DAVID LANDRY CRNA
Provider Business Mailing Address
First Line : 7777 HENNESSY BLVD STE 301
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-0319
Country : US
Telephone Number : 225-214-6438
Fax Number : 225-214-6437
Provider Business Practice Location Address
First Line : 5000 HENNESSY BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4375
Country : US
Telephone Number : 225-214-6438
Fax Number : 225-214-6437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2025
Last Update Date : 01/07/2026

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Directions to “ COLBY DAVID LANDRY CRNA” Practice Location

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