Lange, Vanessa

Lange, Vanessa is an individual health care provider with primary practice located at 14500 99Th Ave N Ste 100 , Maple Grove MN 55369-4738. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lange, Vanessa can be contacted via phone (763) 898-1000.

Contact Information

Primary practice address
14500 99Th Ave N Ste 100 Maple Grove MN 55369-4738
Phone: (763) 898-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 12248 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12248 Minnesota

Profile Details

NPI number 1407307077
LBN Legal business name Lange, Vanessa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2016
Last updated Apr 29th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407307077 NPPES
Minnesota MEDICAID 1407307077

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