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Contact Information

CARLA J STANGE, FNP
45081 LITTLE LAKE ST
MENDOCINO, CA95460
 Phone: 707-937-1055
 Fax: 707-937-1061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CARLA J STANGE · (Female)

NPI Number 1780769166
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 10/26/2006
Last updated 01/22/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 2199
  • CA License # 336450
Hospital affiliation(s)
  • MENDOCINO COAST DISTRICT HOSPITAL - (Critical Access)
    700 RIVER DR
    FORT BRAGG, CA 95437
  • ST HELENA HOSPITAL - (Acute Care)
    10 WOODLAND ROAD
    SAINT HELENA, CA 94574
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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