Most Relevant Information
Provider Data
| NPI Number: | 1003075391 |
| Provider Name: | MARGIE LANGE RN, FNP, BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 074592 |
Most Important Dates
| Enumeration Date: | 06/03/2008 |
| Last Updated: | 06/03/2008 |
Provider Practice Location
1431 HIGHWAY Y
BELLE
MO
650133108
Practice Location Phone/Fax
| Phone: | 5738593202 |
| Fax: |
Provider Mailing Location
1431 HIGHWAY Y
BELLE
MO
650133108
Provider Mailing Phone/Fax
| Phone: | 5738593202 |
| Fax: |