Miranda Lange, PA-C, RD Valid NPI

Individual provider · Physician Assistant · Hartford, CT

NPI

1902319080

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

PA185166 (CT)

Sex

Female

Sole proprietor

No

Enumerated

2017-11-10

Last updated

2019-07-09