Provider Demographics
NPI:1477319804
Name:LANGSETH, ZOE MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:ZOE
Middle Name:MARIE
Last Name:LANGSETH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3561 HASTINGS DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-7627
Mailing Address - Country:US
Mailing Address - Phone:907-931-0928
Mailing Address - Fax:
Practice Address - Street 1:6408 FAYETTEVILLE RD
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-7977
Practice Address - Country:US
Practice Address - Phone:910-878-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant