National Provider Identifier
Joella Lange
Joella Lange is listed in the NPPES registry with a primary specialty of Registered Nurse in Wolcott, NY and a listed phone number of (585) 642-0900.
Profile Overview
- NPI
- 1851014609
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- September 26, 2022
- Last Updated
- September 26, 2022
Practice Location
- 5048 Gaylord RD
- Wolcott, NY 14590-9305
Phone: (585) 642-0900
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1851014609
- Entity Type
- Individual
- Last Name
- Lange
- First Name
- Joella
- Mailing Street Address
- 5048 Gaylord RD
- Mailing City
- Wolcott
- Mailing State
- NY
- Mailing ZIP Code
- 14590-9305
- Mailing Country
- US
- Practice Street Address
- 5048 Gaylord RD
- Practice City
- Wolcott
- Practice State
- NY
- Practice ZIP Code
- 14590-9305
- Practice Country
- US
- Practice Phone
- (585) 642-0900
- Enumeration Date
- September 26, 2022
- Last Updated
- September 26, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 26, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)