Provider Demographics
NPI:1992476105
Name:LANGFORD, TANIKA
Entity type:Individual
Prefix:
First Name:TANIKA
Middle Name:
Last Name:LANGFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 BERYL AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-1419
Mailing Address - Country:US
Mailing Address - Phone:419-827-8200
Mailing Address - Fax:
Practice Address - Street 1:425 BERYL AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-1419
Practice Address - Country:US
Practice Address - Phone:419-827-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No372500000XNursing Service Related ProvidersChore Provider