Individual
MS. GAZELLE G LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
390 S FRENCH BROAD AVE, ASHEVILLE, NC 28801-4364
(484) 994-9196
Mailing address
390 S FRENCH BROAD AVE, ASHEVILLE, NC 28801-4364
(484) 994-9196
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
868
NC
367A00000X
Advanced Practice Midwife
MW010039
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1644747
PERSONAL CHOICE PROF
PA
01
—
2319725000
KEYSTONE PROFESSIONAL
PA
01
—
3502425
AETNA FACILITY HMO
PA
01
—
7016198
AETNA PPO
PA
Enumeration date
06/20/2006
Last updated
08/10/2023
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