Search › Minnesota › 363A00000X
Vanessa Lange, PA-C
NPI 1407307077 · on the registry since 2016
Practice
- Address
- 14500 99th Ave N Ste 100
Maple Grove, MN 55369 - Phone
- (763) 898-1000
- Organisation at this address
- Fairview Clinics
Fairview Express Care
Fairview Pharmacy Services Llc
Fairview Pharmacy Services Llc
Fairview Maple Grove Surgery Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 59
Additional practice sites
- 500 Harvard St Se Ste 7445, Minneapolis, MN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207RX0202X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota