Langley, Maryellen

Langley, Maryellen is an individual health care provider with primary practice located at 25 N 100 E Suite #102, St George UT 84770. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Langley, Maryellen can be contacted via phone (435) 986-2565.

Contact Information

Primary practice address
25 N 100 E Suite #102 St George UT 84770
Phone: (435) 986-2565
Fax: (435) 986-2577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X SP015440 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 10209861-4405 Utah

Profile Details

NPI number 1386027373
LBN Legal business name Langley, Maryellen
Credentials CRNP/APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2015
Last updated Jun 16th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386027373 NPPES
Pennsylvania MEDICAID 103116325-0004

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