Individual
CONNIE LONGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4697 HARRISON ST, BELLAIRE, OH 43906-1338
(740) 968-7006
(740) 968-7256
Mailing address
4697 HARRISON ST, BELLAIRE, OH 43906-1338
(740) 968-7006
(740) 968-7256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN208754
WV
Other
Enumeration date
07/15/2015
Last updated
11/24/2020
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