Individual
HEATHER LEEANN LANGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 STEPHEN J WHITE MEM BLVD, TALLADEGA, AL 35160
(256) 268-7775
Mailing address
10 WINDWARD LOOP, OHATCHEE, AL 36271-2800
(256) 485-5344
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1-076049
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9721
RX
AL
Enumeration date
07/12/2021
Last updated
08/07/2023
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