Individual
ANGELA MICHELLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-6201
(615) 322-5000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN0000077498
TN
367A00000X
Advanced Practice Midwife
Primary
6273
TN
367A00000X
Advanced Practice Midwife
AP60462008
WA
367A00000X
Advanced Practice Midwife
APN0000006273
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3660681
—
TN
01
—
420001234
RAILROAD MEDICARE
TN
05
—
Q015594
—
TN
Enumeration date
06/17/2006
Last updated
02/15/2023
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