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NPI Code Detail

MEDICARE: NATALIE LANDRY

MEDICARE:   NATALIE  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
1164W00000XLicensed Practical Nurse201911247LPNOR

General Provider Information

NPI Number : 1942936562
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATALIE LANDRY
Provider Business Mailing Address
First Line : 213 WATER AVE NW
Second Line :
City : ALBANY
State : OR
Zip : 97321-2298
Country : US
Telephone Number : 541-371-2080
Fax Number : 541-928-6713
Provider Business Practice Location Address
First Line : 213 WATER AVE NW
Second Line :
City : ALBANY
State : OR
Zip : 97321-2298
Country : US
Telephone Number : 541-371-2080
Fax Number : 541-928-6713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2022
Last Update Date : 07/26/2022

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Directions to “ NATALIE LANDRY ” Practice Location

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