Individual
MRS. AMANDA ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
285 W DORA ST, ANGIER, NC 27501-9542
(919) 639-9995
(919) 639-3518
Mailing address
285 W DORA ST, ANGIER, NC 27501-9542
(919) 639-9995
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
247320
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
20172101
NC
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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