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NPI Code Detail

MEDICARE: MRS. ELAINE GAIL LANGE R.N, A.P.N.

MEDICARE: MRS. ELAINE GAIL LANGE R.N, A.P.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerNN08298500NJ
2163W00000XRegistered NurseNO08298500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083694913
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELAINE GAIL LANGE R.N, A.P.N.
Provider Business Mailing Address
First Line : 402 LIPPINCOTT DR
Second Line :
City : MARLTON
State : NJ
Zip : 08053-4112
Country : US
Telephone Number : 856-782-3300
Fax Number : 856-504-8029
Provider Business Practice Location Address
First Line : 485 WILLIAMSTOWN RD
Second Line :
City : SICKLERVILLE
State : NJ
Zip : 08081-1777
Country : US
Telephone Number : 856-227-6575
Fax Number : 856-237-8042
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 11/02/2020

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