Individual
BRITTANY KAYE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3111 GUNDERSEN DR, ONALASKA, WI 54650-8447
(608) 782-7300
Mailing address
925 WEST ST, PERU, IL 61354-2757
(815) 780-5003
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
209.016656
IL
367A00000X
Advanced Practice Midwife
Primary
149010
WI
367A00000X
Advanced Practice Midwife
209.016656
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.016656
ILLINOIS CNM LICENSE
IL
Enumeration date
09/11/2017
Last updated
02/23/2021
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