Heather Marie Landry
Nurse Anesthetist, Certified Registered in Dover, DE. Individual provider (NPI-1).
NPI number1386973741
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1386973741
- Entity type
- Individual (NPI-1)
- Name
- Heather Marie Landry
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2009
- Certification date
- Oct 3, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | L6-0A00787 | DE | Yes |
| 367500000X | Nurse Anesthetist, Certified Registered | R177819 | MD |
Other names
- Heather Marie Chang (Former Name)
Practice location
640 S State StDover, DE 19901-3530
Phone 302-430-5746 · Fax 302-430-5507
Mailing address
640 S. State StMail Code 3055
Dover, DE 19901-3530
Phone 302-430-5746 · Fax 302-430-5507
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