Provider Demographics
NPI:1942965751
Name:GANDY, VIRGINIA HOUSTON (APRN, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:HOUSTON
Last Name:GANDY
Suffix:
Gender:F
Credentials:APRN, WHNP-BC
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:LYNN
Other - Last Name:GANDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
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:318-322-2140
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:711 SAINT JOHN ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:LA
Practice Address - Zip Code:71201-8435
Practice Address - Country:US
Practice Address - Phone:318-322-2140
Practice Address - Fax:318-807-0809
Is Sole Proprietor?:No
Enumeration Date:2021-11-05
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA214149363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health