Individual
SHARON E LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12150 30 MILE RD, WASHINGTON, MI 48095-2035
(586) 752-7256
(586) 331-2323
Mailing address
12150 30 MILE ROAD, WASHINGTON TOWNSHIP, MI 48095-3203
(586) 752-7256
(586) 331-2323
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704131779
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10-4599457
—
MI
05
—
10-4599466
—
MI
05
—
10-4599475
—
MI
05
—
10-4599484
—
MI
05
—
10-4599493
—
MI
05
—
10-4599500
—
MI
Enumeration date
01/06/2006
Last updated
07/07/2023
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