Individual
ANDREW LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
(479) 751-5711
Mailing address
609 W MAPLE AVE, SPRINGDALE, AR 72764-5335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2015032213
MO
363LF0000X
Family Nurse Practitioner
Primary
A004560
AR
Other
Enumeration date
09/10/2015
Last updated
11/05/2015
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