Provider Demographics
NPI:1265060578
Name:LANGHORNE, PARRIS D (NP)
Entity type:Individual
Prefix:
First Name:PARRIS
Middle Name:D
Last Name:LANGHORNE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4906 VALLEY CREST DR APT 302
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-8636
Mailing Address - Country:US
Mailing Address - Phone:804-617-5103
Mailing Address - Fax:
Practice Address - Street 1:5838 HARBOUR VIEW BLVD STE 270
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-3602
Practice Address - Country:US
Practice Address - Phone:757-541-1068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024177766363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care