Healthcare Provider Details

I. General information

NPI: 1477424471
Provider Name (Legal Business Name): ERIC LANGAN DNP, CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

S 42ND AND EMILE ST
OMAHA NE
68198-0001
US

IV. Provider business mailing address

S 42ND AND EMILE ST
OMAHA NE
68198-0001
US

V. Phone/Fax

Practice location:
  • Phone: 402-552-3344
  • Fax:
Mailing address:
  • Phone: 402-552-3344
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number101971
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number93232
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: