Carly Lange
Carly Lange is a General Practice Registered Nurse in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2023.
- Licensed in
- ID
- In the registry since
- 2023
Practice location Address checks out
417 S 6th StBoise, ID 83702-7632
Phone: (208) 577-4460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Registered Nurse (primary) | Taxonomy 163WG0000X · Licence 57823 (ID) |
|---|
Record details
| NPI number | 1568153096 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 16, 2023 |
| Last updated in NPPES | May 16, 2023 |
| Certification date | May 16, 2023 |
| Mailing address | 417 S 6th St, Boise, ID 83702-7632 |
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