Provider Demographics
NPI:1538530316
Name:LANGER, NEIL I (MSN, RN, NP-C)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:
Last Name:LANGER
Suffix:I
Gender:M
Credentials:MSN, RN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2263 HIGHWAY 65 NORTH
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:AR
Mailing Address - Zip Code:72650-1060
Mailing Address - Country:US
Mailing Address - Phone:318-655-1735
Mailing Address - Fax:
Practice Address - Street 1:2263 HIGHWAY 65 NORTH
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:AR
Practice Address - Zip Code:72650-1060
Practice Address - Country:US
Practice Address - Phone:870-448-5733
Practice Address - Fax:870-448-4769
Is Sole Proprietor?:No
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA004546363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily