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NPI Code Detail

MEDICARE: MR. MICHAEL LANGMEAD FNP-BC

MEDICARE: MR. MICHAEL LANGMEAD FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN090498AZ
2363LF0000XFamily Nurse PractitionerAP2869AZ
3363LF0000XFamily Nurse PractitionerAPRN2335HI

General Provider Information

NPI Number : 1134323553
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL LANGMEAD FNP-BC
Provider Business Mailing Address
First Line : 45 MOHOULI ST
Second Line :
City : HILO
State : HI
Zip : 96720-7210
Country : US
Telephone Number : 520-235-2156
Fax Number : 808-935-3783
Provider Business Practice Location Address
First Line : 45 MOHOULI ST
Second Line :
City : HILO
State : HI
Zip : 96720-7210
Country : US
Telephone Number : 520-235-2156
Fax Number : 808-935-3783
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2007
Last Update Date : 06/09/2020

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