Individual provider · Type 1 NPI

Angela Landry

Nurse Practitioner · Grand Blanc, MI

NPI number 1063379014 Active

Practice location

3139 E Baldwin Rd
Grand Blanc, MI 48439-7374

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704383685 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063379014

Angela Landry's National Provider Identifier is 1063379014, issued on Jan 9, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grand Blanc, MI. The record was last updated on Jun 15, 2026.