| Doctor Name: | MS. MARY ELLEN LANGFORD |
| NPI Number: | 1114923802 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C.R.N.P. |
| License Number: | SP003967H |
| Business Practice Address: | 240 Barker Rd Genesis Physician Services Wyncote, PA - 190951716 |
| Business Phone Number: | 2157381184 |
| Business Fax Number: | 6103354486 |
| Mailing Address: | 600 S Broad St, Genesis Physician Services KENNETT SQUARE |
| State: | PA |
| Postal Code: | 193483346 |
| Phone Number: | 2157381184 |
| Fax Number: | 6103354486 |
| NPI Enumeration Date: | 06/27/2005 |
| NPI Last Update Date: | 08/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | SP003967H |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |