1003916008 NPI number — MRS. MURIEL NICOLE LANGOUET-ASTRIE M.D.

Table of content: MRS. MURIEL NICOLE LANGOUET-ASTRIE M.D. (NPI 1003916008)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003916008 NPI number — MRS. MURIEL NICOLE LANGOUET-ASTRIE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LANGOUET-ASTRIE
Provider First Name:
MURIEL
Provider Middle Name:
NICOLE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003916008
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 327
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FISHERSVILLE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22939-0327
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-941-8603
Provider Business Mailing Address Fax Number:
540-941-3535

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2542 JEFFERSON HWY
Provider Second Line Business Practice Location Address:
SUITE 106
Provider Business Practice Location Address City Name:
WAYNESBORO
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22980-6500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-941-8603
Provider Business Practice Location Address Fax Number:
540-941-3535
Provider Enumeration Date:
09/22/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  0101055989 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 58-1158-9 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 262936 . This is a "ANTHEM" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".