Individual
PAULINE ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
722 NW 7TH ST, BRAINERD, MN 56401-2912
(218) 825-2617
(612) 725-1302
Mailing address
722 NW 7TH ST, BRAINERD, MN 56401-2912
(218) 825-2617
(612) 725-1302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1113815
MN
163WP2201X
Ambulatory Care Registered Nurse
Primary
1113815
MN
Other
Enumeration date
09/16/2024
Last updated
03/18/2026
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