Individual
SUSAN LANGMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 WATERMAN AVE, EAST PROVIDENCE, RI 02914-2427
(401) 435-7800
Mailing address
35 SHERMAN AVE, BRISTOL, RI 02809-4524
(401) 253-3820
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
13627
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29122
BCBSRI
RI
01
—
30394
NHPRI
RI
Enumeration date
03/18/2007
Last updated
07/08/2007
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