Healthcare Provider Details

I. General information

NPI: 1811634454
Provider Name (Legal Business Name): VICTORIA LANGHAMMER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: VICTORIA HERRMANN

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8902 N MERIDIAN ST STE 100
INDIANAPOLIS IN
46260-5306
US

IV. Provider business mailing address

8902 N MERIDIAN ST STE 100
INDIANAPOLIS IN
46260-5306
US

V. Phone/Fax

Practice location:
  • Phone: 317-643-4444
  • Fax:
Mailing address:
  • Phone: 317-643-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71013938A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: