Individual
MRS. MARNIE SMITH LONGEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
4819 COLEMAN RD, RICHMOND, VA 23230-2505
(804) 421-4960
Mailing address
4819 COLEMAN RD, RICHMOND, VA 23230-2505
(804) 421-4960
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0017137550
VA
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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