Individual
VIRGINIA L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5853
(814) 452-5583
Mailing address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5853
(814) 452-5583
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
UP001268J
PA
Other
Enumeration date
07/24/2006
Last updated
10/14/2020
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