Samantha Mary Gimelli Lange
Nurse Practitioner - Pediatrics Nurse Practitioner - Family Medicine
1775 Aurora Ct Rm 2404
Aurora
, Colorado 80045-2536
Samantha Mary Gimelli Lange
Nurse Practitioner - Pediatrics Nurse Practitioner - Family Medicine
1775 Aurora Ct Rm 2404
Aurora
, Colorado 80045-2536
(720) 939-0605
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Samantha Mary Gimelli Lange
- 26229 E Maple Dr
- Aurora, CO
- Zip : 80018-4671
- Phone : (720) 939-0605
Second Address
- Samantha Mary Gimelli Lange
- 1775 Aurora Ct Rm 2404
- Aurora, CO
- Zip : 80045-2536
- Phone : (303) 724-7514
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Is Samantha Mary Gimelli Lange a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0996681-NP | CO |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | APN.0996681-NP | CO |
National Provider Identifier
| NPI | 1023781523 |
|---|---|
| Provider Name | Samantha Mary Gimelli Lange |
| First Address | Aurora, CO 80018-4671 |
| Second Address | Aurora, CO 80045-2536 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/07/2021 |
| Last Update Date | 05/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.