Provider Demographics
NPI:1720492374
Name:LANG, CHERIE ANNE (APRN)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:ANNE
Last Name:LANG
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:
Other - Last Name:LAMOTTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:100 MCGREGOR ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102
Mailing Address - Country:US
Mailing Address - Phone:603-663-6401
Mailing Address - Fax:603-663-6701
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:ANESTHESIOLOGY/CRITICAL CARE
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-3745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-11
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH069442-21163WC0200X
NH069442-23363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine