Healthcare Provider Details

I. General information

NPI: 1902279664
Provider Name (Legal Business Name): MONICA RAE LANGSTON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2015
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PINE GROVE CMNS
YORK PA
17403-5161
US

IV. Provider business mailing address

4073 LANDIS RD
HANOVER PA
17331-8606
US

V. Phone/Fax

Practice location:
  • Phone: 717-755-4422
  • Fax:
Mailing address:
  • Phone: 717-600-5537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP015581
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number30796
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: