Organization
ALTA LANGDON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTA LANGDON (OWNER)
(480) 546-2819
Entity
Organization
Contact information
Practice address
14301 N 87TH ST STE 218, SCOTTSDALE, AZ 85260-3690
(480) 546-2819
Mailing address
14301 N 87TH ST STE 218, SCOTTSDALE, AZ 85260-3690
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9010225
MEDICARE
AZ
Enumeration date
08/12/2020
Last updated
08/12/2020
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