Individual
ANITA KELSO LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2714 UNION AVENUE EXT, SUITE 150, MEMPHIS, TN 38112-4436
(901) 725-0872
(901) 278-6934
Mailing address
2714 UNION AVENUE EXT, SUITE 150, MEMPHIS, TN 38112-4436
(901) 725-0872
(901) 278-6934
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN0000012949
TN
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
APN0000012949
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3345599
PTAN
TN
Enumeration date
11/04/2008
Last updated
12/07/2011
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