Individual
BARBARA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2240 WINROW RD, FORT HUACHUCA, AZ 85613-5080
(520) 533-5956
Mailing address
PO BOX 4135, SIERRA VISTA, AZ 85636-4135
(520) 508-9408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN073583
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN073583
REGISTERED NURSE
AZ
Enumeration date
02/04/2016
Last updated
02/04/2016
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