Provider Demographics
NPI:1255717369
Name:LANGAN, MONICA KALEIANUENUE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:KALEIANUENUE
Last Name:LANGAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:MONICA
Other - Middle Name:KALEIANUENUE
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:310 TICONDEROGA ST
Mailing Address - Street 2:
Mailing Address - City:BELLE CHASSE
Mailing Address - State:LA
Mailing Address - Zip Code:70037-1076
Mailing Address - Country:US
Mailing Address - Phone:808-295-3652
Mailing Address - Fax:
Practice Address - Street 1:1111 MEDICAL CENTER BLVD STE S113
Practice Address - Street 2:
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-3152
Practice Address - Country:US
Practice Address - Phone:504-349-6520
Practice Address - Fax:504-349-6522
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2019-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9404861363LF0000X
LA200576363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily