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Individual

ELISABETH A LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1223 S GEAR AVE, STE 208, WEST BURLINGTON, IA 52655-1682
(319) 752-4541
(319) 752-2972
Mailing address
1223 S GEAR AVE, STE 208, WEST BURLINGTON, IA 52655-1682
(319) 752-4541
(319) 752-2972

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F066084
IA

Other

Enumeration date
05/12/2008
Last updated
11/07/2012
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