Individual
KERRI M. LANGEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PNP-BC
Contact information
Practice address
1 FOREST PARK DR, FARMINGTON, CT 06032-1487
(860) 677-1112
(860) 674-9442
Mailing address
1 FOREST PARK DR, FARMINGTON, CT 06032-1487
(860) 677-1112
(860) 674-9442
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
000883
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004150108
—
CT
Enumeration date
01/23/2008
Last updated
01/08/2016
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