Individual
MS. NANCY SUE LONGFORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2075 GLENN MITCHELL DR STE 512, VIRGINIA BEACH, VA 23456-0179
(757) 507-8850
Mailing address
2075 GLENN MITCHELL DR STE 512, VIRGINIA BEACH, VA 23456-0179
(757) 507-8850
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101254169
VA
208600000X
Surgery Physician
17488
ND
208600000X
Surgery Physician
58621
MN
208600000X
Surgery Physician
65696-20
WI
208600000X
Surgery Physician
PT17488
ND
Other
Enumeration date
06/20/2008
Last updated
01/16/2024
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