Individual
MRS. PATRICIA ANN LONGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CNM
Contact information
Practice address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-5591
Mailing address
1061 HARMON AVE, STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-5591
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
ARNP 9201128
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305884100
—
FL
Enumeration date
08/07/2006
Last updated
09/15/2010
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