Individual
MRS. ROBIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
23164 DRAGOON RD, LIGNUM, VA 22726-2036
(540) 399-5066
Mailing address
11408 STONEWALL JACKSON DR, SPOTSYLVANIA, VA 22551-4607
(540) 412-5440
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024171016
VA
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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