Individual
ANISLEY LONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1565 W 29TH ST, HIALEAH, FL 33012-5516
(305) 537-4110
(305) 675-2860
Mailing address
9000 NW 15TH ST UNIT 6, DORAL, FL 33172-2990
(786) 894-6358
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN9498576
FL
163WG0000X
General Practice Registered Nurse
RN9498576
FL
163WH0200X
Home Health Registered Nurse
RN9498576
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11023555
FL
Other
Enumeration date
08/25/2021
Last updated
03/15/2024
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