# MARY BRONWYN LONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013188663
- **Gender:** F
- **Credential:** CNS, ACHPN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364S00000X | Clinical Nurse Specialist | R1827185 | MN | Yes |
| 364SA2200X | Adult Health Clinical Nurse Specialist | 173629 | CO | — |

## Other

- **Enumeration date:** 03/21/2008
- **Last updated:** 11/12/2020