Landry, Therese A

Landry, Therese A is an individual health care provider with primary practice located at 3130 Ellis St , Bellingham WA 98225-1904. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / General Practice. Nursing Service Providers / General Practice is her primary health care specialty. Landry, Therese A can be contacted via phone (360) 734-4404.

Contact Information

Primary practice address
3130 Ellis St Bellingham WA 98225-1904
Phone: (360) 734-4404
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN00168143 Washington
Nursing Service Providers / General Practice 163WG0000X AP30007538 Washington

Profile Details

NPI number 1851545727
LBN Legal business name Landry, Therese A
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2008
Last updated Nov 5th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851545727 NPPES
Washington MEDICAID 9639998

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