Provider Demographics
NPI:1003916008
Name:LANGOUET-ASTRIE, MURIEL NICOLE (MD)
Entity Type:Individual
Prefix:MRS
First Name:MURIEL
Middle Name:NICOLE
Last Name:LANGOUET-ASTRIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 327
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-0327
Mailing Address - Country:US
Mailing Address - Phone:540-941-8603
Mailing Address - Fax:540-941-3535
Practice Address - Street 1:2542 JEFFERSON HWY
Practice Address - Street 2:SUITE 106
Practice Address - City:WAYNESBORO
Practice Address - State:VA
Practice Address - Zip Code:22980-6500
Practice Address - Country:US
Practice Address - Phone:540-941-8603
Practice Address - Fax:540-941-3535
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101055989174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA58-1158-9Medicaid
VA262936OtherANTHEM
VA58-1158-9Medicaid