MS. DONNA M LANDRY PHYSICIAN ASSISTANT NPI 1366523490

NPI Information

NPI: 1366523490
Provider Name: MS. DONNA M LANDRY, PHYSICIAN ASSISTANT
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1603 COOPER POINT RD NW
OLYMPIA, WA
ZIP 98502
Phone: (360) 753-0396
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MS. Donna M Landry, PHYSICIAN ASSISTANT is a medical physician assistant in Olympia, WA. MS. Donna M Landry, PHYSICIAN ASSISTANT NPI is 1366523490. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1603 COOPER POINT RD NW
OLYMPIA, WA
ZIP 98502-325
Phone: (360) 753-0396
Fax: (360) 539-7937

The NPI 1366523490 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA10002558	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	5617199	OTHER	AETNA NON HMO
2	OA10000203	OTHER	WASH ST LICENSE
3	3568326	OTHER	AETNA HMO
4	O198234	OTHER	LABOR & INDUSTRIES
5	2007LA	OTHER	REGENCE
6	A1820	OTHER	PREMERA BC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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