person
Kelly Elizabeth Lange, NP-C
Family Nurse Practitioner in Bellingham, Washington
NPI 1679884761

Kelly Elizabeth Lange is a Family Nurse Practitioner based in Bellingham, WA and is specialized in Family. Kelly Elizabeth Lange practices in Bellingham, WA and has the professional credentials of NP-C. The NPI Number for Kelly Elizabeth Lange is 1679884761 and holds a License No. RN104462-AP06137 (Washington).

The current practice location address for Kelly Elizabeth Lange is 3125 Old Fairhaven Pkwy Ste 106, Bellingham, WA and can be reached out via phone at 360-788-8388 and via fax at 360-788-8389.

Location: 3125 Old Fairhaven Pkwy Ste 106, Bellingham, WA, 98225-8266
person
Provider Profile Details
NPI Number
1679884761
Provider Name
Kelly Elizabeth Lange
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
3125 Old Fairhaven Pkwy Ste 106, Bellingham, WA, 98225-8266
Phone Number
360-788-8388
Fax Number
360-788-8389
Provider Enumeration Date
06/23/2010
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP003393 01 LA STATE LICENSE
AP61473911 01 WA ARNP LICENSE
institution
Provider Business Practice Location Address Details
Address
3125 Old Fairhaven Pkwy Ste 106
City
State
Zip
98225-8266
Phone Number
360-788-8388
Fax Number
360-788-8389
person
Provider Business Mailing Address Details
Address
3125 Old Fairhaven Pkwy Ste 106
City
State
Zip
98225-8266
Phone Number
360-788-8388
Fax Number
360-788-8389
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN104462-AP06137 (Louisiana)
Definition
Definition to come...
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