Active NPIIndividual providerSole proprietor

Tiffany A Landry, NURSE PRACTITIONER

Nurse Practitioner, Psych/Mental Health in Gardner, Massachusetts

NPI Number1245887801
Practice location
242 Green St, Gardner, MA 01440-1336
Fax
—
Last updated
July 8, 2024

Tiffany Anne Landry is a Nurse Practitioner, Psych/Mental Health based in Gardner, MA. Tiffany Anne Landry practices in Gardner, MA and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Tiffany Anne Landry is 1245887801 and holds a License No. RN2317473 (MA). The current practice location address for Tiffany Anne Landry is 242 Green St, Gardner, MA 01440-1336 and can be reached out via phone at 978-632-3420.

Provider Profile Details

NPI Number
1245887801
Provider Name
Tiffany Anne Landry
Credential
NURSE PRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
242 Green St, Gardner, MA 01440-1336
Phone Number
978-632-3420
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
August 19, 2019
Last Update Date
July 8, 2024
Certification Date
July 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
242 Green St
Gardner, MA 01440-1336
Zip
01440-1336
Phone Number
978-632-3420
Gardner, MA 01440Get directions →

Provider Business Mailing Address Details

Address
242 Green St
Gardner, MA 01440-1336
City
Gardner
State
MA
Zip
01440-1336
Phone Number
978-632-3420

License Information

License Number (1)
RN2317473
License State (1)
MA
Taxonomy (1)
Registered Nurse, Community Health · 163WC1500X
License Number (2)
231747
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tiffany A Landry, NURSE PRACTITIONER?

The NPI number of Tiffany A Landry, NURSE PRACTITIONER is 1245887801. It was assigned on August 19, 2019 and is currently active in the NPPES registry.

What is the specialty of Tiffany A Landry, NURSE PRACTITIONER?

Tiffany A Landry, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2317473.

Where does Tiffany A Landry, NURSE PRACTITIONER practice?

The practice location is 242 Green St, Gardner, MA 01440-1336. The office can be reached at 978-632-3420 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245887801 directly on the NPPES registry website.

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