Individual
DANA RENEE LONGMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5800 GODFREY RD, GODFREY, IL 62035-2426
(618) 468-4431
Mailing address
4339 PINE RD, PALMYRA, IL 62674-6673
(618) 468-4431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209003307
IL
Other
Enumeration date
05/01/2007
Last updated
08/23/2016
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