Individual
SARAH ROSE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 694-4194
(620) 694-2128
Mailing address
2101 N WALDRON ST, HUTCHINSON, KS 67502-1197
(620) 669-2500
(620) 694-2062
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5378102
KS
363LA2100X
Acute Care Nurse Practitioner
53-78102-102
KS
363LA2200X
Adult Health Nurse Practitioner
53-78102-102
KS
Other
Enumeration date
03/27/2018
Last updated
08/23/2021
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