Tracy M Lange FNP

NPI 1053636613 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1053636613
Gender Female
Enumeration Date 04/07/2010
Last Updated 01/13/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
324 T B STANLEY HWY
BASSETT VA, 24055-6108, US
Phone (276) 629-1076
Fax (276) 629-2695
Business Location
324 T B STANLEY HWY
BASSETT VA, 24055-6108, US
Phone (276) 629-1076
Fax (276) 629-2695
Toxanomy
Taxonomy Code 363LF0000X
License State Virginia
License Number 0024168745
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According to our database, Mrs. Tracy M Lange FNP NPI is 1053636613, taxonomy code is 363LF0000X and license number is 0024168745, license state is located at Virginia. Tracy M Lange FNP physically located at 324 T B Stanley Hwy, Bassett VA, 24055-6108. NPI Number Tracy M Lange FNP has the Individual type.

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1053636613 NPI number is provided on an as is basis without warranty of any kind. 1053636613 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy M Lange FNP are for informational purposes only.