SUSAN ELAINE LANGE CRNP NPI 1811092364

NPI Information

NPI: 1811092364
Provider Name: SUSAN ELAINE LANGE, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1126 OPAL CT
HAGERSTOWN, MD
ZIP 21740
Phone: (240) 420-2666
Get Directions

Susan Elaine Lange, CRNP is a family nurse practitioner in Hagerstown, MD. Susan Elaine Lange, CRNP NPI is 1811092364. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1126 OPAL CT
HAGERSTOWN, MD
ZIP 21740-940
Phone: (240) 420-2666
Fax: (240) 420-0951

The enumeration date for this NPI number is 9/13/2006 and was last updated on 1/7/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R135100	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	743LK579	MEDICARE ID-TYPE UNSPECIFIED	MARYLAND
2	Q37206	MEDICARE UPIN	MARYLAND
3	002978500	MEDICAID	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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