Wanda H Lange (NPI# 1326170259, PAC ID# 0941304133) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED CLINICAL NURSE SPECIALIST (CNS).
| Nation Provider ID (NPI) | 1326170259 |
| PAC ID by PECOS | 0941304133 |
| Professional Enrollment ID | I20070328000126 |
| Full Name | Wanda H Lange |
| Organization Legal Name | SHANNON CLINIC |
| Address |
2626 N Bryant Blvd San Angelo TX 76903-2861 |
| Phone Number | 3254812271 |
| Gender | F |
| Credential | CNS |
| Graduation Year | 1998 |
| Primary Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| Group Practice PAC ID | 0840103727 |
| Number of Group Practice Members | 279 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450571 | SHANNON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 104 N Ave H, Ozona, TX 76943-0907 | 3253923788 | SHANNON CLINIC |
| 2626 N Bryant Blvd, San Angelo, TX 76903-2861 | 3254812271 | SHANNON CLINIC |
| 3016 Vista Del Arroyo Dr, San Angelo, TX 76904-6146 | 3256581511 | SHANNON CLINIC |
| 3502 Knickerbocker Rd, San Angelo, TX 76904-7671 | 3259428611 | SHANNON CLINIC |
| 4141 S College Hills Blvd, San Angelo, TX 76904-6506 | 3259428611 | SHANNON CLINIC |
| 4235 Southwest Blvd, San Angelo, TX 76904-5635 | 3254812197 | SHANNON CLINIC |
| 4251 Sunset Dr, San Angelo, TX 76904-5653 | 3254812073 | SHANNON CLINIC |
| Organization Legal Name | SHANNON CLINIC |
| Physicians | 315 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaushal Sondarwa | Nephrology | Shannon Clinic | 220 E Harris, San Angelo, TX 76903 |
| Mark Hinton | Psychiatry | Shannon Clinic | 2018 Pulliam St, San Angelo, TX 76905-5148 |
| Roxanne Timm | Nurse Practitioner | Shannon Clinic | 225 E Beauregard, San Angelo, TX 76903 |
| Kathie M Horrace Voigt | Family Medicine | Shannon Clinic | 4251 Sunset Dr, San Angelo, TX 76904-5653 |
| Maegin M Carlile | Nurse Practitioner | Shannon Clinic | 120 E Beauregard, San Angelo, TX 76903 |
| Natalie Marie Mcdonald | Physician Assistant | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| Glen M Mcferren | Psychiatry | Shannon Clinic | 2020 Pulliam St, San Angelo, TX 76905-5148 |
| Brandi Lynn Whitehead | Physician Assistant | Shannon Clinic | 102 N Magdalen, San Angelo, TX 76903 |
| Buren A Whitten | Physician Assistant | Shannon Clinic | 104 N Ave H, Ozona, TX 76943-0907 |
| Edward L Grimes | Optometry | Shannon Clinic | 4450 Sunset Dr, San Angelo, TX 76904 |
| Street Address |
2626 N BRYANT BLVD |
| City | SAN ANGELO |
| State | TX |
| Zip | 76903-2861 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie Marie Mcdonald | Physician Assistant | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| Regan A. Darby | Nurse Practitioner | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| Jack P Campbell | Family Medicine | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| Laura R Chancellor | Physician Assistant | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| Rachel Burrell Bizot | Physician Assistant | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| David J Bickford | Physician Assistant | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| Ty M Hughston | Internal Medicine | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| Andrew Kingman | Urology | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| Steven Clay Alred | Family Medicine | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| Mary Studt | Physician Assistant | Shannon Clinic | 2626 N Bryant Blvd, San Angelo, TX 76903-2861 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaushal Sondarwa | Nephrology | Shannon Clinic | 220 E Harris, San Angelo, TX 76903 |
| Roxanne Timm | Nurse Practitioner | Shannon Clinic | 225 E Beauregard, San Angelo, TX 76903 |
| Maegin M Carlile | Nurse Practitioner | Shannon Clinic | 120 E Beauregard, San Angelo, TX 76903 |
| Brandi Lynn Whitehead | Physician Assistant | Shannon Clinic | 102 N Magdalen, San Angelo, TX 76903 |
| David R Nichols | Emergency Medicine | Shannon Clinic | 120 E Harris, San Angelo, TX 76903 |
| Susan L Schultz | Clinical Nurse Specialist | Shannon Clinic | 2030 Pullian, San Angelo, TX 76903 |
| Michelle D Crawford | Chiropractic | 107 N Main, San Angelo, TX 76903 | |
| Kimberly S Coon | Clinical Nurse Specialist | Shannon Clinic | 215 E College, San Angelo, TX 76903 |
| Irvin E Zeitler Jr. | Family Medicine | Shannon Clinic | 120 E Beauregard, San Angelo, TX 76903 |
| Charles E Greeson | Dermatology | Shannon Clinic | 120 E Beauregard, San Angelo, TX 76903 |
| Find all physicians in zip 76903 | |||
| City | SAN ANGELO |
| Zip Code | 76903 |
| Specialty | CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
| City + Specialty | SAN ANGELO + CERTIFIED CLINICAL NURSE SPECIALIST (CNS) |
Please comment or provide details below to improve the information on Wanda H Lange.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.