Provider Demographics
NPI:1245048826
Name:LANGSETH, REBECCA CAROLYN
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:CAROLYN
Last Name:LANGSETH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:LANGSETH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4220 NE 197TH ST
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST PARK
Mailing Address - State:WA
Mailing Address - Zip Code:98155-1630
Mailing Address - Country:US
Mailing Address - Phone:517-488-2051
Mailing Address - Fax:
Practice Address - Street 1:4220 NE 197TH ST
Practice Address - Street 2:
Practice Address - City:LAKE FOREST PARK
Practice Address - State:WA
Practice Address - Zip Code:98155-1630
Practice Address - Country:US
Practice Address - Phone:517-488-2051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula