Individual
MRS. CAROLYN H LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2100 W PENNSYLVANIA AVE, WASHINGTON, DC 20037-3202
(202) 872-7232
(202) 872-7212
Mailing address
2101 EAST JEFFERSON STREET, PPQA MEDICARE COMPLIANCE UNIT 6 WEST KAISER PERMANENTE, ROCKVILLE, MD 20852-4908
(301) 816-6660
(301) 816-6308
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0001078167
VA
363L00000X
Nurse Practitioner
Primary
RN41947
DC
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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