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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANGELA LANDRY
NPI 1063379014
Nurse Practitioner in Grand Blanc, MI

Active since January 09, 2026
3139 E BALDWIN RD, GRAND BLANC, MI 48439(810) 445-5300 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Landry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA LANDRY (NPI 1063379014) is an individual nurse practitioner in Grand Blanc, Michigan, licensed in Michigan (4704383685) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1063379014
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANGELA LANDRY
Location Address3139 E BALDWIN RDGrand Blanc, MI 48439-7374
Mailing Address3139 E Baldwin RdGrand Blanc, MI 48439-7374 · (810) 445-5300
Phone(810) 445-5300
Sole ProprietorYes
Enumeration DateJanuary 9, 2026
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1063379014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704383685
Definition
(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3139 E BALDWIN RD, Grand Blanc, MI 48439
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Landry's NPI number?

The NPI number for Angela Landry is 1063379014. It was assigned to this individual provider in the NPPES registry on January 9, 2026.

Where is Angela Landry located?

Angela Landry practices at 3139 E Baldwin Rd, Grand Blanc, MI 48439. The listed phone number is (810) 445-5300.

What is Angela Landry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Angela Landry was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.