Individual
KIRA ANN LONGGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-7101
(603) 356-5472
Mailing address
PO BOX 457, STRATTON, ME 04982-0457
(603) 547-5556
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
090433-23
NH
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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