Individual
MS. CARLA J. STANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
45081 LITTLE LAKE ST, MENDOCINO, CA 95460
(707) 937-1055
(707) 937-1061
Mailing address
3536 MENDOCINO AVE STE 200, SANTA ROSA, CA 95403-3634
(707) 525-6485
(707) 573-6918
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
336450
CA
363LF0000X
Family Nurse Practitioner
Primary
2199
CA
367A00000X
Advanced Practice Midwife
336450
CA
Other
Enumeration date
10/26/2006
Last updated
01/22/2019
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