Individual
NICOLE VANLANGENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, NNP
Contact information
Practice address
347 SMITH AVE N, SAINT PAUL, MN 55102-2387
(713) 443-1234
Mailing address
PO BOX 44425, EDEN PRAIRIE, MN 55344-1425
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
185957-7
MN
363LN0005X
Critical Care Neonatal Nurse Practitioner
690572
TX
Other
Enumeration date
04/09/2007
Last updated
07/15/2008
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