Individual
ALYSSA LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1015 4TH AVE N STE 206, MINNEAPOLIS, MN 55405-1178
(612) 238-0034
Mailing address
1015 4TH AVE N STE 206, MINNEAPOLIS, MN 55405-1178
(612) 238-0034
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG02230034
MN
Other
Enumeration date
01/03/2023
Last updated
04/30/2024
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