Individual
BRYANA NICOLE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-MSN
Contact information
Practice address
4420 KIMBELL DR, WICHITA FALLS, TX 76302-3006
(940) 696-1600
(940) 696-1665
Mailing address
200 MLK JR BLVD, WICHITA FALLS, TX 76301-1152
(940) 766-6306
(940) 766-6504
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1018771
TX
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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