Provider Demographics
NPI:1205283769
Name:LANG, DANISHA R (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:DANISHA
Middle Name:R
Last Name:LANG
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1570 LINDBERG DR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-8083
Mailing Address - Country:US
Mailing Address - Phone:985-205-3456
Mailing Address - Fax:985-288-0047
Practice Address - Street 1:1570 LINDBERG DR
Practice Address - Street 2:SUITE 8
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-8083
Practice Address - Country:US
Practice Address - Phone:985-205-3456
Practice Address - Fax:985-288-0047
Is Sole Proprietor?:No
Enumeration Date:2016-05-15
Last Update Date:2016-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08403363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily