Individual
MRS. ELAINE GAIL LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N, A.P.N.
Contact information
Practice address
485 WILLIAMSTOWN RD, SICKLERVILLE, NJ 08081-1777
(856) 227-6575
(856) 237-8042
Mailing address
402 LIPPINCOTT DR, MARLTON, NJ 08053-4112
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NO08298500
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
NN08298500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075337
—
NJ
Enumeration date
01/18/2006
Last updated
11/02/2020
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