Individual
MRS. THERESA M LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.P.
Contact information
Practice address
9500 E IRONWOOD SQUARE DR, SCOTTSDALE, AZ 85258-4582
(480) 948-8400
Mailing address
PO BOX 734240, CHICAGO, IL 60673-4240
(708) 460-7890
(708) 460-1207
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
279921
AZ
Other
Enumeration date
10/24/2006
Last updated
07/05/2024
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