Individual
KELLY ELIZABETH LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3125 OLD FAIRHAVEN PKWY STE 106, BELLINGHAM, WA 98225-8266
(360) 788-8388
(360) 788-8389
Mailing address
3125 OLD FAIRHAVEN PKWY STE 106, BELLINGHAM, WA 98225-8266
(360) 788-8388
(360) 788-8389
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61473911
WA
363LF0000X
Family Nurse Practitioner
RN104462-AP06137
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP003393
STATE LICENSE
LA
01
—
AP61473911
ARNP LICENSE
WA
Enumeration date
06/23/2010
Last updated
06/09/2025
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