Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | R204490 | MD |
NPI | 1033682711 |
---|---|
Provider Name | Anneke Langenhoven |
First Address | Annapolis, MD 21401-3404 |
Second Address | Annapolis, MD 21401-3404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2019 |
Last Update Date | 08/05/2019 |