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Individual
VANESSA V LONGACRE
Active
Individual
VANESSA V LONGACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9493697
FL
363LF0000X
Family Nurse Practitioner
3005988
KY
363LF0000X
Family Nurse Practitioner
71000901A
IN
363LF0000X
Family Nurse Practitioner
APRN9493697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200293480
—
IN
Enumeration date
02/02/2006
Last updated
09/30/2024
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