Provider Demographics
NPI:1093557084
Name:LANGFORD, HANNAH JOY (PA-C)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:JOY
Last Name:LANGFORD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7089 S LOCUST PL
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1500
Mailing Address - Country:US
Mailing Address - Phone:970-903-1784
Mailing Address - Fax:
Practice Address - Street 1:7089 S LOCUST PL
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1500
Practice Address - Country:US
Practice Address - Phone:970-903-1784
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1214704363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant