person
Susan Elaine Lange, CRNP
Family Nurse Practitioner in Hagerstown, Maryland
NPI 1811092364

Susan Elaine Lange is a Family Nurse Practitioner based in Hagerstown, MD and is specialized in Family. Susan Elaine Lange practices in Hagerstown, MD and has the professional credentials of CRNP. The NPI Number for Susan Elaine Lange is 1811092364 and holds a License No. R135100 (Maryland).

The current practice location address for Susan Elaine Lange is 1126 Opal Ct, Hagerstown, MD and can be reached out via phone at 240-420-2666 and via fax at 240-420-0951.

Location: 1126 Opal Ct, Hagerstown, MD, 21740-5940
person
Provider Profile Details
NPI Number
1811092364
Provider Name
Susan Elaine Lange
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
1126 Opal Ct, Hagerstown, MD, 21740-5940
Phone Number
240-420-2666
Fax Number
240-420-0951
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002978500 05 MD
institution
Provider Business Practice Location Address Details
Address
1126 Opal Ct
City
State
Zip
21740-5940
Phone Number
240-420-2666
Fax Number
240-420-0951
person
Provider Business Mailing Address Details
Address
1126 Opal Ct
City
State
Zip
21740-5940
Phone Number
240-420-2666
Fax Number
240-420-0951
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R135100 (Maryland)
Definition
Definition to come...
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