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Individual

CANDI NICOLE LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
691 N NELLIS BLVD, LAS VEGAS, NV 89110-5383
(702) 818-3207
Mailing address
4454 N. DECATUR BLVD., LAS VEGAS, NV 89130
(702) 507-0983
(702) 839-1301

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
RN98099
NV
207LP2900X
Pain Medicine (Anesthesiology) Physician
848646
NV
363LF0000X
Family Nurse Practitioner
Primary
APRN-CNP835170
TX

Other

Enumeration date
10/17/2020
Last updated
08/25/2023
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