Individual provider · Type 1 NPI

Vanessa Lange, PA-C

Physician Assistant · Maple Grove, MN

NPI number 1407307077 Active

Practice location

14500 99th Ave N Ste 100
Maple Grove, MN 55369-4738

Call (763) 898-1000 Map

Mailing address

1700 University Ave W
St. Paul, MN 55104-3727

Other practice locations

  • 500 Harvard St SE Ste 7445, Minneapolis, MN 55455-0363 · (612) 273-0883

Specialties and licenses

TaxonomyCodeLicense
Medical Oncology Physician 207RX0202X12248 (MN)
Physician Assistant Primary 363A00000X12248 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407307077

Vanessa Lange, PA-C's National Provider Identifier is 1407307077, issued on Oct 19, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Maple Grove, MN. The record was last updated on Apr 29, 2025.