Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Lange

Individual provider General Practice Registered Nurse · NPI 1568153096

Carly Lange is a General Practice Registered Nurse in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2023.

Licensed in
ID
In the registry since
2023

Practice location Address checks out

417 S 6th St
Boise, ID 83702-7632
Phone: (208) 577-4460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 57823 (ID)

Record details

NPI number1568153096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

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