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Angela Landry

NPI 1063379014ActiveIndividual· Nurse Practitioner· Grand Blanc, MI

Nurse Practitioner in Grand Blanc, Michigan, trained at University of Michigan Medical School (class of 2026). Enrolled in Medicare as practitioner - nurse practitioner.

Overview

NPI1063379014
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJan 9, 2026
Last updated in NPPESJun 15, 2026
Certified by providerJun 15, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X4704383685MI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (MI)

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Michigan Medical School
Graduation year2026
Medicare specialtyNurse Practitioner

Medical group

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner providers in Grand Blanc

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