Individual provider · Type 1 NPI
Melinda Lucille Lange, ADVANCED PRACTICENUR
Adult Health Clinical Nurse Specialist · Peoria, IL
NPI number
1285045013
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
104 Barbara St
East Peoria, IL 61611-4591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Clinical Nurse Specialist Primary | 364SA2200X | 209011332 (IL) |
Adult Health Clinical Nurse Specialist: Definition to come...
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About NPI 1285045013
Melinda Lucille Lange, ADVANCED PRACTICENUR's National Provider Identifier is 1285045013, issued on May 14, 2014. The primary taxonomy on file is Adult Health Clinical Nurse Specialist (364SA2200X), and the practice location is in Peoria, IL. The record was last updated on May 14, 2014.