Individual
ELIZABETH KIM DANIELS-LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, ACNP-BC
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 270-0501
Mailing address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3685
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2013042256
MO
363LA2100X
Acute Care Nurse Practitioner
2013044839
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
R0050468
OK
Other
Enumeration date
07/15/2008
Last updated
01/03/2014
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