Individual
CANDI NICOLE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10030 W SAHARA AVE, LAS VEGAS, NV 89117-6013
(702) 570-8105
Mailing address
10030 W SAHARA AVE, LAS VEGAS, NV 89117-6013
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
363LF0000X
Family Nurse Practitioner
Primary
APRN848646
NV
Other
Enumeration date
10/17/2020
Last updated
06/26/2026
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