Healthcare Provider Details

I. General information

NPI: 1386260396
Provider Name (Legal Business Name): CORTNEY LYNN LANGERHOLC CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 COLLEGE PARK PLZ
JOHNSTOWN PA
15904-2833
US

IV. Provider business mailing address

203 COLLEGE PARK PLAZA
JOHNSTOWN PA
15904
US

V. Phone/Fax

Practice location:
  • Phone: 814-961-3500
  • Fax: 814-310-2008
Mailing address:
  • Phone: 814-961-3500
  • Fax: 814-310-2008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP022060
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: