Individual
MRS. NANCY ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
132 HOLIDAY COURT, SUITE 210, ANNAPOLIS, MD 21401
(410) 266-8663
(410) 268-6000
Mailing address
132 HOLIDAY COURT, SUITE 210, ANNAPOLIS, MD 21401
(410) 266-8663
(410) 268-6000
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RO88802
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LONI04264906
CRNP
MD
Enumeration date
09/06/2007
Last updated
09/06/2007
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