Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Alice Langevin

Individual provider Family Nurse Practitioner · NPI 1144401845

Mary Alice Langevin is a Nurse Practitioner in Minneapolis, Minnesota. Qualified in 2007, 19 years ago. Practices with Children's Health Care, a 81-clinician group. Licensed in Minnesota.

Years since qualifying
19
Licensed in
MN
In the registry since
2007
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Practice location Address checks out

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone: (612) 813-7106
Fax: (612) 813-6325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R 137994-7 (MN)

Record details

NPI number1144401845
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 21, 2007
Last updated in NPPESNovember 21, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Children'S Health Care — 81 clinicians
Accepts Medicare assignment Not indicated

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