Individual
HEATHER LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 N 3RD ST, STE 300, NEWARK, OH 43055-5550
(740) 349-7511
Mailing address
243 FAIRVIEW AVE, GRANVILLE, OH 43023-1482
(740) 973-2561
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-349048
OH
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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