Individual provider · Type 1 NPI

Sandra C. Landry, PA-C

Physician Assistant · Providence, RI

NPI number 1104925734 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Mailing address

200 Mill Rd, Suite 180
Fairhaven, MA 02719-5252

Other practice locations

  • 2 Dudley St, Providence, RI 02905-3236 · (401) 444-5891

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA01050 (RI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104925734

Sandra C. Landry, PA-C's National Provider Identifier is 1104925734, issued on Sep 21, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Providence, RI. The record was last updated on Nov 10, 2025.