Individual
BRITTNEY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(214) 687-0001
Mailing address
6225 N STATE HIGHWAY 161 STE 200, IRVING, TX 75038-2241
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN9471049
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
1000162
TX
Other
Enumeration date
01/29/2020
Last updated
06/24/2020
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