Individual
MS. MARIANNE LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
600 EAGLEVIEW BLVD OFC 367, EXTON, PA 19341-1224
(959) 599-2426
Mailing address
5 SPINNAKER DR, NIANTIC, CT 06357-1600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
001654
CT
363LF0000X
Family Nurse Practitioner
Primary
SP012522
PA
Other
Enumeration date
03/22/2007
Last updated
09/20/2023
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