Individual
SYDNEY LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
2018001392
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
2023006961
MO
Other
Enumeration date
02/06/2023
Last updated
02/06/2024
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