Individual
MRS. MICHELE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1600 SHERIDAN DR, LANCASTER, OH 43130-1305
(740) 277-6525
Mailing address
1600 SHERIDAN DR, LANCASTER, OH 43130-1305
(740) 277-6525
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.024906
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0402685
—
OH
Enumeration date
06/20/2019
Last updated
09/30/2021
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