Individual
OLIVIA LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(903) 597-0351
Mailing address
1000 S BECKHAM AVE, TYLER, TX 75701-1908
(731) 336-1510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
222061
TN
363LN0000X
Neonatal Nurse Practitioner
Primary
1159319
TX
363LN0000X
Neonatal Nurse Practitioner
30723
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11025936
BOARD OF NURSING
FL
01
—
1159319
TX APRN
TX
01
—
222061
BOARD OF NURING
—
01
—
30723
BOARD OF NURSING
TN
Enumeration date
06/29/2021
Last updated
03/31/2025
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