MISS Melinda Lucille Lange, ADVANCED PRACTICENUR

NPI #1285045013 in Peoria, Illinois

Provider Information

NPI Number
1285045013
Entity Type
Individual
Name
MISS Melinda Lucille Lange, ADVANCED PRACTICENUR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinical Nurse Specialist - Adult Health
Credential
ADVANCED PRACTICENUR
Enumeration Date
May 14, 2014
Last Updated
May 14, 2014

Practice Location

Address
530 NE GLEN OAK AVE
City
Peoria
ZIP Code
61637-0001
Phone
(309) 655-2000

Specialties & Taxonomy Codes

Specialty
Clinical Nurse Specialist - Adult HealthAdult Health

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