Individual
JULIA M LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
345 BLACKSTONE BLVD, BUTLER PATIENT ASSESSMENT, PROVIDENCE, RI 02906-0290
(401) 455-6346
Mailing address
200 HIGH SERVICE AVE, NORTH PROVIDENCE, RI 02904-5113
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN02839
RI
Other
Enumeration date
10/05/2021
Last updated
05/25/2022
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