Individual provider · Type 1 NPI

Kelsie Moinzadeh Lange

Family Nurse Practitioner · Clifton Park, NY

NPI number 1508773292 Active

Practice location

939 Route 146 Ste 700
Clifton Park, NY 12065-3662

Mailing address

80 Cypress St
Ballston Lake, NY 12019-1751

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF359241-01 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1508773292

Kelsie Moinzadeh Lange's National Provider Identifier is 1508773292, issued on Aug 26, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Clifton Park, NY. The record was last updated on Aug 26, 2026.