Healthcare Provider Details

I. General information

NPI: 1073403044
Provider Name (Legal Business Name): TAWNY LANGSETH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W PRAIRIE ST
HARRISVILLE PA
16038-1720
US

IV. Provider business mailing address

3000 BRANDT DR APT 3402
CRANBERRY TOWNSHIP PA
16066-6470
US

V. Phone/Fax

Practice location:
  • Phone: 724-738-2425
  • Fax:
Mailing address:
  • Phone: 719-213-4151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0009306
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: