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Individual

MISTY LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN, CNM

Contact information

Practice address
600 N WASHINGTON AVE STE B, ODESSA, TX 79761-4436
(432) 363-4407
(432) 224-1442
Mailing address
600 N WASHINGTON AVE STE B, ODESSA, TX 79761-4436
(432) 363-4407
(432) 224-1442

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1096837
TX

Other

Enumeration date
10/14/2022
Last updated
07/31/2024
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