Provider Demographics
NPI:1881237006
Name:LANDRY-THORNTON, CATINA MARIE (FNP)
Entity type:Individual
Prefix:MRS
First Name:CATINA
Middle Name:MARIE
Last Name:LANDRY-THORNTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CATINA
Other - Middle Name:MARIE
Other - Last Name:LANDRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:5959 S SHERWOOD FOREST BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70816-6038
Mailing Address - Country:US
Mailing Address - Phone:985-730-6970
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:106 AVENUE B
Practice Address - Street 2:SUITE B
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427
Practice Address - Country:US
Practice Address - Phone:985-730-6950
Practice Address - Fax:985-545-1036
Is Sole Proprietor?:No
Enumeration Date:2019-10-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP10143363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner