Healthcare Provider Details

I. General information

NPI: 1780571646
Provider Name (Legal Business Name): KATHERINE RAINHA LANGBERG CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2025
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 RIGBY RD
LANCASTER MA
01523-1703
US

IV. Provider business mailing address

79 RIGBY RD
LANCASTER MA
01523-1703
US

V. Phone/Fax

Practice location:
  • Phone: 978-460-0620
  • Fax:
Mailing address:
  • Phone: 978-460-0620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2295214
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: