Provider Demographics
NPI:1487780698
Name:LANGAIGNE, JANET S (BSRN)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:S
Last Name:LANGAIGNE
Suffix:
Gender:F
Credentials:BSRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:844 MORTON ST
Mailing Address - Street 2:
Mailing Address - City:MATTAPAN
Mailing Address - State:MA
Mailing Address - Zip Code:02126-2452
Mailing Address - Country:US
Mailing Address - Phone:617-282-0514
Mailing Address - Fax:617-825-3891
Practice Address - Street 1:844 MORTON ST
Practice Address - Street 2:
Practice Address - City:MATTAPAN
Practice Address - State:MA
Practice Address - Zip Code:02126-2452
Practice Address - Country:US
Practice Address - Phone:617-282-0514
Practice Address - Fax:617-825-3891
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA162510163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0389251OtherPROVIDER'S NUMBER