Individual provider · Type 1 NPI
Carla J. Stange, FNP
Family Nurse Practitioner · Mendocino, CA
NPI number
1780769166
Active
Practice location
45081 Little Lake St
Mendocino, CA 95460
Fax (707) 937-1061
Mailing address
3536 Mendocino Ave Ste 200
Santa Rosa, CA 95403-3634
Other practice locations
- 940 Ukiah St., Mendocino, CA 95460-1129 · (707) 937-4202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 336450 (CA) |
| Advanced Practice Midwife | 367A00000X | 336450 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 2199 (CA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1780769166
Carla J. Stange, FNP's National Provider Identifier is 1780769166, issued on Oct 26, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mendocino, CA. The record was last updated on Jan 22, 2019.