Provider Demographics
NPI:1336140565
Name:LANGFIELD, CARI (PAC)
Entity Type:Individual
Prefix:
First Name:CARI
Middle Name:
Last Name:LANGFIELD
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7964 E HAMPDEN CIR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1406
Mailing Address - Country:US
Mailing Address - Phone:303-795-5980
Mailing Address - Fax:303-795-7881
Practice Address - Street 1:1700 N MARION ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1121
Practice Address - Country:US
Practice Address - Phone:303-860-7770
Practice Address - Fax:303-860-7770
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2020-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2061363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO2061OtherPAC LICENSE