Provider Demographics
NPI:1992319594
Name:LANGLEY, KRISTINA (FNP-C)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:LANGLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48462 BELL SCHOOL RD STE A
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-9625
Mailing Address - Country:US
Mailing Address - Phone:724-773-3404
Mailing Address - Fax:724-770-7939
Practice Address - Street 1:48462 BELL SCHOOL RD STE A
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-9625
Practice Address - Country:US
Practice Address - Phone:724-773-3404
Practice Address - Fax:724-770-7939
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2021-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV107097363LF0000X
PASP022301363LF0000X
OHAPRN.CNP.0027331363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily