Individual
SARAH LANGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-6919
(505) 332-6921
Mailing address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-6919
(505) 332-6921
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA2002-0025
NM
363AM0700X
Medical Physician Assistant
Primary
PA2002-0025
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4982720
—
NM
Enumeration date
07/22/2006
Last updated
08/11/2014
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