Provider Demographics
NPI:1710933767
Name:LANGI, MARLIS L (FNP)
Entity Type:Individual
Prefix:
First Name:MARLIS
Middle Name:L
Last Name:LANGI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 RESERVATION RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1521
Mailing Address - Country:US
Mailing Address - Phone:775-329-5162
Mailing Address - Fax:775-789-5613
Practice Address - Street 1:34 RESERVATION RD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1521
Practice Address - Country:US
Practice Address - Phone:775-329-5162
Practice Address - Fax:775-789-5613
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV APN000643363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVQ43854Medicare UPIN
NV101702Medicare ID - Type Unspecified
NVP00292321Medicare ID - Type Unspecified