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Individual

MAXWELL CHARLES LANGHORST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RB, BSN, CCRN, SRNA

Contact information

Practice address
1201 E MARSHALL ST, RICHMOND, VA 23298-5026
(804) 828-9000
Mailing address
101 S ARTHUR ASHE BLVD APT 4, RICHMOND, VA 23220-5772

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024192383
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/31/2023
Last updated
02/17/2025
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