Individual
ANDREA J LANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2825 HUNTERS TRL, PORTAGE, WI 53901-3429
(608) 742-7161
(608) 745-3990
Mailing address
2825 HUNTERS TRL, PORTAGE, WI 53901-3429
(608) 742-7161
(608) 745-3990
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2594033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023054137
—
WI
Enumeration date
06/20/2006
Last updated
12/04/2020
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