Christine Merette Lange | Bozeman, MT • PECOS Search

Christine Merette Lange

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1188 N 15th Ave, Bozeman, MT 59715-3290

(406) 586-2620 (406) 599-0298

PECOS Enrollment

Based on the most recent information from CMS, provider Christine Merette Lange does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1154038230
Provider Type
Individual
Full Name
Lange, Christine Merette
Title
Mrs.
Credential
BSN, RN, DNP, FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/31/2022
Last Updated
10/31/2022

Contact Information

Practice Location

1188 N 15th Ave, Bozeman, MT 59715-3290

Unlisted Fax

Mailing Location

712 S Tracy Ave, Bozeman, MT 59715-5324

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 198910 Montana