Individual provider · Type 1 NPI
Madison Lange
Nurse Practitioner · Cincinnati, OH
Practice location
3188 Bellevue Ave
Cincinnati, OH 45219-2369
Fax (513) 475-7480
Mailing address
PO Box 636256
Cincinnati, OH 45263-6256
Other practice locations
- 1265 Union Ave, Memphis, TN 38104-3415 · (859) 801-2106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 258553 (TN) |
| Nurse Practitioner Primary | 363L00000X | APRN.CNP.0037173 (OH) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1750128591
Madison Lange's National Provider Identifier is 1750128591, issued on Jul 10, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Cincinnati, OH. The record was last updated on Jul 30, 2024.