Individual
ASHLIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1301 E 7TH ST, PUEBLO, CO 81001-3508
(719) 543-8711
(719) 543-0171
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 543-0171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0993446-NP
CO
Other
Enumeration date
10/04/2017
Last updated
10/27/2022
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