Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Supattra Lange

Individual provider Medical-Surgical Registered Nurse · NPI 1316756125

Supattra Lange is a Medical-Surgical Registered Nurse in Fargo, North Dakota. Practices as a sole proprietor. Licensed in North Dakota.

Licensed in
ND
In the registry since
2025

Practice location Address checks out

2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 239-3767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical-Surgical Registered Nurse (primary) Taxonomy 163WM0705X · Licence R42469 (ND)

Record details

NPI number1316756125
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 6, 2025
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025
Mailing address2101 Elm St N, Fargo, ND 58102-2417

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