Provider Demographics
NPI:1578735825
Name:LANGAN, ANDREA G (CRNFA)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:G
Last Name:LANGAN
Suffix:
Gender:F
Credentials:CRNFA
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 253
Mailing Address - Street 2:
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-0253
Mailing Address - Country:US
Mailing Address - Phone:201-725-4105
Mailing Address - Fax:609-467-7175
Practice Address - Street 1:1912 ROUTE 35
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:NJ
Practice Address - Zip Code:07755-2768
Practice Address - Country:US
Practice Address - Phone:732-389-8400
Practice Address - Fax:732-389-0353
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO08260400163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant