NPI 1063735512
Ethel Lange
Practice location
- Address
- Cmr 414 Box 1116, Apo, AE 09173-0012
- Phone
- (314) 466-2502
- Mailing address
- 78 New Hampshire St, Millinocket, ME 04462-2320
Registered specialties
Registered Nurse
Primary
Registry record
- NPI
- 1063735512
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Mar 2010
- Record last updated
- 11 Mar 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.