Provider Demographics
NPI:1154850204
Name:MARCEL, KIMBERLY LANGHOFF (APRHN, FNP-C)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:LANGHOFF
Last Name:MARCEL
Suffix:
Gender:F
Credentials:APRHN, FNP-C
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:71107 HIGHWAY 21 STE 2
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7243
Mailing Address - Country:US
Mailing Address - Phone:985-246-5670
Mailing Address - Fax:986-246-5667
Practice Address - Street 1:15770 PAUL VEGA MD DR STE 204
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-1475
Practice Address - Country:US
Practice Address - Phone:985-230-7860
Practice Address - Fax:985-230-7861
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-11
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAAP09313363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily