Individual
MARSHA BURNS KAY LANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1001 MAIN ST FL 4, BUFFALO, NY 14203-1009
(716) 323-0034
(716) 323-0292
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0034
(716) 323-0292
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
387289-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026556101
UNIVERA
—
01
—
000560666002
BC/BS
—
01
—
000560666003
BC/BS
—
05
—
01966370
—
NY
01
—
040426002591
FIDELIS
—
01
—
080111000043
FIDELIS
—
01
—
9512420
IHA
—
Enumeration date
04/24/2006
Last updated
01/15/2021
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