Individual
MRS. EMILY SUSAN STANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, ARNP
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 653-9303
Mailing address
PO BOX 721, WILDER, VT 05088-0721
(802) 295-5221
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
052190-23-04
NH
367A00000X
Advanced Practice Midwife
052190-23-01
NH
367A00000X
Advanced Practice Midwife
Primary
101-0028642
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010441
—
VT
05
—
30342923
—
NH
Enumeration date
07/14/2006
Last updated
09/11/2025
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