Doctor Name: | THERESA MARIE LANGAN |
NPI Number: | 1942633664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 111523 |
Business Practice Address: | 1301 E H St Mc Cook, NE - 690013482 |
Business Phone Number: | 3083442650 |
Business Fax Number: | |
Mailing Address: | 1116 Nasby Ct, CAMBRIDGE |
State: | NE |
Postal Code: | 690223594 |
Phone Number: | 3082933466 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2013 |
NPI Last Update Date: | 08/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 111523 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |