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Individual

NORA LONGTHORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
535 AQUILA DR, EAST LANSING, MI 48823-8318
(419) 283-3315
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704178487
MI
363LF0000X
Family Nurse Practitioner
COA11707NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3125933
OH
Enumeration date
09/13/2010
Last updated
10/07/2020
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