IndividualActive
Nicole Landry, M.D.
NPI 1891178653 · Family Medicine Physician · Longview, WA
Provider details
- NPI number
- 1891178653
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 5875 - 851 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1718 E Kessler Blvd
Longview, WA 98632-1842
Phone: (360) 747-5800
Fax: (360) 575-3846
Approximate (ZIP-level) locationGet directions
Mailing address
1718 E Kessler Blvd
Longview, WA 98632-1842
Registry dates
- Enumerated
- 2015-06-29
- Last updated
- 2024-12-16
- Certified
- 2024-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.