Provider Demographics
NPI:1518659705
Name:LANGSETH, ERIN TERESA (DNP)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:TERESA
Last Name:LANGSETH
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:TERESA
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 MAIN ST APT 310
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-6043
Mailing Address - Country:US
Mailing Address - Phone:701-570-8882
Mailing Address - Fax:
Practice Address - Street 1:1301 15TH AVE W
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-3821
Practice Address - Country:US
Practice Address - Phone:701-774-7485
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-24
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDF05230714363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner