Provider Demographics
NPI:1023245222
Name:BARKERDING, AMY LANDRY (PA)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LANDRY
Last Name:BARKERDING
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:71107 HIGHWAY 21
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7243
Mailing Address - Country:US
Mailing Address - Phone:985-893-2580
Mailing Address - Fax:985-893-1680
Practice Address - Street 1:71107 HIGHWAY 21
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7243
Practice Address - Country:US
Practice Address - Phone:985-893-2580
Practice Address - Fax:985-893-1680
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2010-09-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAPA200275363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant