Lange, Amy S

Lange, Amy S is an individual health care provider with primary practice located at 1200 Lagoon Ave , Minneapolis MN 55408-2077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Lange, Amy S can be contacted via phone (612) 823-6300.

Contact Information

Primary practice address
1200 Lagoon Ave Minneapolis MN 55408-2077
Phone: (612) 823-6300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R1113365 Minnesota

Profile Details

NPI number 1528038106
LBN Legal business name Lange, Amy S
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528038106 NPPES
Other 07-00775 MEDICA
Other 1019218 MEDICA
Other 930063 MEDICA
Other HP22762 MEDICA
Other 37B63LA MEDICA
Other 109104 MEDICA
Other 32427 MEDICA

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