Michelle Dawn Long NP

NPI 1699976431 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1699976431
Gender Female
Enumeration Date 05/30/2007
Last Updated 09/15/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
EDGEWOOD KY, 41017-3403, US
Phone (859) 301-2237
Fax (859) 301-2607
Business Location
PO BOX 636324
CINCINNATI OH, 45263-0001, US
Phone (859) 344-5555
Fax (859) 301-2607
Taxonomy Code 363LA2200X
License State Kentucky
License Number 3005068
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According to our database, Michelle Dawn Long NP NPI is 1699976431, taxonomy code is 363LA2200X and license number is 3005068, license state is located at Kentucky. Michelle Dawn Long NP physically located at 1 Medical Village Dr, Edgewood KY, 41017-3403. NPI Number Michelle Dawn Long NP has the Individual type.

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1699976431 NPI number is provided on an as is basis without warranty of any kind. 1699976431 is maintained by the National Plan & Provider Enumeration System. The contents of Michelle Dawn Long NP are for informational purposes only.