Basic Information
Provider Information
NPI: 1154420289
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LANGAN
FirstName: SARAH
MiddleName: M.
NamePrefix: MS.
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1800
Address2:  
City: COLUMBUS
State: NE
PostalCode: 686021800
CountryCode: US
TelephoneNumber: 4025647118
FaxNumber: 4025623378
Practice Location
Address1: 4600 38TH ST
Address2:  
City: COLUMBUS
State: NE
PostalCode: 686011664
CountryCode: US
TelephoneNumber: 4025647118
FaxNumber: 4025623378
Other Information
ProviderEnumerationDate: 09/22/2006
LastUpdateDate: 07/08/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X100948NEY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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