Individual
MRS. MARLENA LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
700 KIMBER LANE, EVANSVILLE, IN 47715-2803
(812) 476-7111
(812) 476-7117
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3008284
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
71004454A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001083038
ANTHEM PIN
—
01
—
1530528
WELLCARE OF KY PROVIDER ID NUMBER
KY
05
—
201178460
—
IN
01
—
3688482
UNITED HEALTHCARE PROVIDER ID NUMBER
—
05
—
7100290800
—
KY
01
—
8059404
CIGNA
—
01
—
8703700
AETNA PIN
—
01
—
CS1807800105
CARESOURCE ID
—
Enumeration date
04/11/2013
Last updated
06/14/2022
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