# MRS. HEATHER S LANGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861435521
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 28160594A | IN | — |
| 363L00000X | Nurse Practitioner | 3004811 | KY | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 05/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000798249 | ANTHEM - WS | KY |
| 01 | — | 143319 | SIHO - WS | KY |
| 05 | — | 200531340 | — | IN |
| 01 | — | 50045366 | PASSPORT - WS | KY |
| 05 | — | 7100224710 | — | KY |