Lange, Wanda H
Lange, Wanda H is an individual health care provider with primary practice located at 102 N Magdalen St , San Angelo TX 76903-5400. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Lange, Wanda H can be contacted via phone (325) 658-1511.Contact Information
Primary practice address
102 N Magdalen St
San Angelo TX 76903-5400
Phone: (325) 658-1511
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | 224797 | Texas |
Profile Details
NPI number | 1326170259 |
---|---|
LBN Legal business name | Lange, Wanda H |
Credentials | Clinical Nurse Specialist (CNS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 9th, 2007 |
Last updated | Mar 11th, 2015 - about 9 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 | 1326170259 | NPPES |
Texas | Other | 0342931-05 | CERTIFICATION |
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