IndividualActive
Supattra Lange
NPI 1316756125 · Medical-Surgical Registered Nurse · Fargo, ND
Provider details
- NPI number
- 1316756125
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- R42469 (ND)
Specialties & taxonomies
Nursing Service Providers
Practice location
2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 239-3767
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Elm St N
Fargo, ND 58102-2417
Registry dates
- Enumerated
- 2025-01-06
- Last updated
- 2025-01-06
- Certified
- 2025-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.