Individual
BRANDY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LPN
Contact information
Practice address
3205 N TWYMAN RD, INDEPENDENCE, MO 64058-3212
(816) 263-1001
(816) 652-9356
Mailing address
5500 MING AVE STE 265, BAKERSFIELD, CA 93309-4696
(816) 263-1001
(816) 652-9356
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1999135729
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1999135729
LICENSE
MO
Enumeration date
03/24/2025
Last updated
03/24/2025
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