Healthcare Provider Details

I. General information

NPI: 1427085950
Provider Name (Legal Business Name): MICHELLE B. LANGREHR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MICHELLE PARSONS

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 03/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7TH & CLAYTON STREETS
WILMINGTON DE
19805
US

IV. Provider business mailing address

307 S EVERGREEN AVE
WOODBURY NJ
08096-2739
US

V. Phone/Fax

Practice location:
  • Phone: 302-421-4333
  • Fax: 302-421-4858
Mailing address:
  • Phone: 856-686-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberLG0000298
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: