Lange, Vanessa
Lange, Vanessa is an sole proprietor health care provider with primary practice located at 500 Harvard St Se Ste 7445 , Minneapolis MN 55455-0363. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lange, Vanessa can be contacted via phone (612) 273-0883.Contact Information
Primary practice address
500 Harvard St Se Ste 7445
Minneapolis MN 55455-0363
Phone: (612) 273-0883
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 12248 | Minnesota |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 12248 | Minnesota |
Profile Details
| NPI number | 1407307077 |
|---|---|
| LBN Legal business name | Lange, Vanessa |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2016 |
| Last updated | Apr 29th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407307077 | NPPES |
| Minnesota | MEDICAID | 1407307077 |
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