Provider Demographics
NPI:1124409289
Name:LANG, ELZABETH ANN (APRN)
Entity Type:Individual
Prefix:
First Name:ELZABETH
Middle Name:ANN
Last Name:LANG
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3201 S MARYLAND PKWY
Mailing Address - Street 2:SUITE 608
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2441
Mailing Address - Country:US
Mailing Address - Phone:702-457-5437
Mailing Address - Fax:702-464-5801
Practice Address - Street 1:3201 S MARYLAND PKWY
Practice Address - Street 2:SUITE 608
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2441
Practice Address - Country:US
Practice Address - Phone:702-457-5437
Practice Address - Fax:702-464-5801
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NVTAPRN701177363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics