Bonnie M Lange, RN
Registered Nurse in Scotia, NY. Individual provider (NPI-1).
NPI number1891078747
StatusActive
Last updated in NPPESSep 27, 2011
Details
- NPI
- 1891078747
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Bonnie M Lange
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2011
- Last updated
- Sep 27, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 370405 | NY | Yes |
Practice location
10 Prestige PkwyScotia, NY 12302-1055
Phone 518-382-1266 · Fax 518-386-4228
Mailing address
10 Prestige PkwyScotia, NY 12302-1055
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