Provider Demographics
NPI:1417329186
Name:LADANI, DEVANGI (APRN)
Entity type:Individual
Prefix:
First Name:DEVANGI
Middle Name:
Last Name:LADANI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 HIGHLAND TER
Mailing Address - Street 2:
Mailing Address - City:EAST HAMPTON
Mailing Address - State:CT
Mailing Address - Zip Code:06424-2141
Mailing Address - Country:US
Mailing Address - Phone:860-597-6352
Mailing Address - Fax:
Practice Address - Street 1:151 SOUTH WARNER ROAD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087
Practice Address - Country:US
Practice Address - Phone:484-434-2966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-21
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT63322083B0002X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine