Healthcare Provider Details

I. General information

NPI: 1861742959
Provider Name (Legal Business Name): VINETTE LANGFORD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2012
Last Update Date: 09/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 CASTLE HILL RD
PELHAM NH
03076-2103
US

IV. Provider business mailing address

18 CASTLE HILL RD
PELHAM NH
03076-2103
US

V. Phone/Fax

Practice location:
  • Phone: 603-880-7921
  • Fax: 603-880-7921
Mailing address:
  • Phone: 603-880-7921
  • Fax: 603-880-7921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN202510
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: