Individual
THERESE LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NP, AGPCNP-BC
Contact information
Practice address
3250 S NEVADA HIGHWAY 160 STE 7, PAHRUMP, NV 89048-4876
(702) 530-2225
Mailing address
3250 S NEVADA HIGHWAY 160 STE 7, PAHRUMP, NV 89048-4876
(702) 530-2225
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
309666
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
871123
NV
Other
Enumeration date
11/16/2020
Last updated
01/21/2025
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