Individual provider · Type 1 NPI

Tracy M. Lange, MSN, FNP, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Stuart, VA

NPI number 1053636613 Active

Practice location

22280 Jeb Stuart Hwy
Stuart, VA 24171-2999

Other practice locations

  • 324 T B Stanley Hwy, Bassett, VA 24055-6108 · (276) 629-1076

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X0024168745 (VA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X0024168745 (VA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

5 other providers at this address

About NPI 1053636613

Tracy M. Lange, MSN, FNP, PMHNP's National Provider Identifier is 1053636613, issued on Apr 7, 2010. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Stuart, VA. The record was last updated on Nov 5, 2019.