Individual
PAULA ANNE LANGELOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1270 E STATE ROAD 205 STE 140, COLUMBIA CITY, IN 46725-8505
(260) 248-9090
(260) 248-9095
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003989A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201075610
—
IN
01
—
M400073757
MEDICARE
IN
Enumeration date
06/22/2012
Last updated
07/02/2025
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