Provider Demographics
NPI:1740321405
Name:LANGER, ELIZABETH ANN BOLING (FNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN BOLING
Last Name:LANGER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:BOLING
Other - Last Name:LANGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP
Mailing Address - Street 1:2620 ELM HILL PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3108
Mailing Address - Country:US
Mailing Address - Phone:615-425-4241
Mailing Address - Fax:615-425-4268
Practice Address - Street 1:2355 W 136TH AVE
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-9331
Practice Address - Country:US
Practice Address - Phone:303-658-9827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0000341-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
COAPN.0000341-NPOtherDORA
CO100663OtherLICENSE #
CO100663OtherLICENSE #