Provider Demographics
NPI:1356697312
Name:LANGELLIER, CONNIE C (APN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CONNIE
Middle Name:C
Last Name:LANGELLIER
Suffix:
Gender:F
Credentials:APN, FNP-C
Other - Prefix:
Other - First Name:CONNIE
Other - Middle Name:
Other - Last Name:CATRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, CNP
Mailing Address - Street 1:611 W PARK ST
Mailing Address - Street 2:FAPC
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:322 N CHICAGO ST
Practice Address - Street 2:HOOPESTON COMMUNITY MEMORIAL HOSPITAL DBA MILFORD MEDIC
Practice Address - City:MILFORD
Practice Address - State:IL
Practice Address - Zip Code:60953-1012
Practice Address - Country:US
Practice Address - Phone:217-283-8540
Practice Address - Fax:217-283-4062
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277003636363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner