Individual
KATHLEEN TERESE LANGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, BC
Contact information
Practice address
42ND @ DEWEY ST, OMAHA, NE 68198-1023
(402) 552-6007
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
110751
NE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
110751
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025405700
—
NE
Enumeration date
08/28/2006
Last updated
05/01/2019
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