Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 11405429-1205 | UT |
NPI | 1003305277 |
---|---|
Provider Name | Ashley Nicole Langell |
First Address | Salt Lake City, UT 84132-2501 |
Second Address | Salt Lake City, UT 84132-2501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2018 |
Last Update Date | 11/09/2019 |