Provider Demographics
NPI:1629780010
Name:LANGSTON, MOLLY KIRBY (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:KIRBY
Last Name:LANGSTON
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 SCRUGGS LN
Mailing Address - Street 2:
Mailing Address - City:GROTTOES
Mailing Address - State:VA
Mailing Address - Zip Code:24441-2437
Mailing Address - Country:US
Mailing Address - Phone:540-471-0995
Mailing Address - Fax:
Practice Address - Street 1:1105 SCRUGGS LN
Practice Address - Street 2:
Practice Address - City:GROTTOES
Practice Address - State:VA
Practice Address - Zip Code:24441-2437
Practice Address - Country:US
Practice Address - Phone:540-471-0995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024185963363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily