Individual
MRS. MARDIE ANNE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1415 N PENN AVE, INDEPENDENCE, KS 67301-2222
(620) 331-2400
(620) 331-0747
Mailing address
PO BOX 360, NEODESHA, KS 66757-0360
(620) 325-2611
(620) 325-8453
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
75225
KS
Other
Enumeration date
09/01/2010
Last updated
09/25/2024
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