Individual
SAMANTHA MARY GIMELLI LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1775 AURORA CT RM 2404, AURORA, CO 80045-2536
(303) 724-7514
Mailing address
26229 E MAPLE DR, AURORA, CO 80018-4671
(720) 939-0605
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1628476
CO
363LF0000X
Family Nurse Practitioner
APN.0996681-NP
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.0996681-NP
CO
Other
Enumeration date
07/29/2021
Last updated
01/05/2022
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