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Individual

MELISSA LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
85 PRESCOTT ST STE 403, WORCESTER, MA 01605-2671
(508) 753-7259
Mailing address
7 GOODNOW RD, PRINCETON, MA 01541-1602

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2333721
MA
363LF0000X
Family Nurse Practitioner
Primary
2333721
MA

Other

Enumeration date
06/26/2022
Last updated
05/04/2023
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