Healthcare Provider Details

I. General information

NPI: 1730004557
Provider Name (Legal Business Name): MARTA LARANGE DNP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARTA SZCZUBELEK RN, BSN

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 LINDSAY DR
DALTON MA
01226-2071
US

IV. Provider business mailing address

48 LINDSAY DR
DALTON MA
01226-2071
US

V. Phone/Fax

Practice location:
  • Phone: 774-239-7180
  • Fax:
Mailing address:
  • Phone: 774-239-7180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2317014
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: