Individual
MRS. MARY ELIZABETH LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, PNP-BC
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3151
(816) 983-6885
Mailing address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3151
(816) 983-6885
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5375200112
KS
363LP0200X
Pediatric Nurse Practitioner
Primary
2010030114
MO
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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