Amber Landry, is a
Registered Nurse - Critical Care Medicine based in Saint Jacob, Illinois. Amber Landry is licensed to practice in Missouri (license number 2008023105) and her current practice location is
117 Olyvia Dr, Saint Jacob, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 520-7204.
NPI number for Amber Landry is 1407363716 and her current mailing address is 3635 Vista Ave, Saint Louis, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407363716.
Provider's Profile
Full Name | Amber Landry |
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Gender | Female |
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Speciality | Registered Nurse - Critical Care Medicine |
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Location | 117 Olyvia Dr, Saint Jacob, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407363716
- Provider Enumeration Date: 01/08/2018
- Last Update Date: 01/08/2018
Medical Identifiers
Medical identifiers for Amber Landry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407363716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 2008023105 (Missouri) | Secondary |
163W00000X | Registered Nurse | 041425794 (Illinois) | Secondary |
163WC0200X | Registered Nurse - Critical Care Medicine | 2008023105 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amber Landry is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amber Landry, 3635 Vista Ave, Saint Louis, MO 63110-2539 Ph: () - | Amber Landry, 117 Olyvia Dr, Saint Jacob, IL 62281-1567 Ph: (618) 520-7204 |
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