Individual
DIANE MICHELLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3250 W LOWER BUCKEYE RD, PHOENIX, AZ 85009-6729
(602) 876-7961
Mailing address
2240 W PARADISE DR, PHOENIX, AZ 85029-3560
(623) 512-3506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8336
AZ
Other
Enumeration date
12/11/2015
Last updated
10/11/2025
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