Individual
SARAH ELIZABETH LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9241 PARK ROYAL DR, FORT MYERS, FL 33908-9204
(239) 985-2700
Mailing address
9241 PARK ROYAL DR, FORT MYERS, FL 33908-9204
(239) 985-2700
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11015817
FL
Other
Enumeration date
10/07/2021
Last updated
10/08/2021
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