Individual
MICHAELA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1650 COWLES ST, FAIRBANKS, AK 99701-5925
(800) 945-9877
(801) 733-5618
Mailing address
PO BOX 678284, DALLAS, TX 75267-8284
(907) 452-2700
(801) 773-5618
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
217
AK
Other
Enumeration date
09/14/2006
Last updated
01/23/2018
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