Provider Demographics
NPI:1073403044
Name:LANGSETH, TAWNY (PA-C)
Entity type:Individual
Prefix:
First Name:TAWNY
Middle Name:
Last Name:LANGSETH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 BRANDT DR APT 3402
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6470
Mailing Address - Country:US
Mailing Address - Phone:719-213-4151
Mailing Address - Fax:
Practice Address - Street 1:220 W PRAIRIE ST
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:PA
Practice Address - Zip Code:16038-1720
Practice Address - Country:US
Practice Address - Phone:724-738-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0009306363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant