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Individual

MISTY DAWN LANGFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1115 N BELT HWY, SAINT JOSEPH, MO 64506
(816) 271-7077
(816) 271-0421
Mailing address
1115 N BELT HWY, SAINT JOSEPH, MO 64506-2410
(816) 271-7011
(816) 271-0421

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2005018808
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699198333
MO
01
701000238
MISSOURI MEDICARE
MO
Enumeration date
01/31/2014
Last updated
10/11/2019
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