Healthcare Provider Details

I. General information

NPI: 1346600673
Provider Name (Legal Business Name): KATHLEEN M LANGR FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/29/2016
Last Update Date: 07/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 E WOODMEN RD STE 100
COLORADO SPRINGS CO
80920-8502
US

IV. Provider business mailing address

6730 WAR EAGLE LN
COLORADO SPRINGS CO
80919-1521
US

V. Phone/Fax

Practice location:
  • Phone: 719-634-8800
  • Fax: 719-634-4474
Mailing address:
  • Phone: 719-330-6064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number.0992282-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: