Provider Demographics
NPI:1427168954
Name:LANGLAIS, LINDA MARIE (NP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:MARIE
Last Name:LANGLAIS
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Gender:F
Credentials:NP
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Mailing Address - Street 1:8890 N UNION BLVD
Mailing Address - Street 2:STE 160
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7799
Mailing Address - Country:US
Mailing Address - Phone:719-365-9950
Mailing Address - Fax:719-365-9969
Practice Address - Street 1:8890 N UNION BLVD
Practice Address - Street 2:STE 170
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7799
Practice Address - Country:US
Practice Address - Phone:719-572-5005
Practice Address - Fax:719-572-5551
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2013-11-01
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Provider Licenses
StateLicense IDTaxonomies
CO47079363LF0000X
COAPN-2507 NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01552236Medicaid