Individual
MELISSA ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN-RN
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(800) 451-5796
Mailing address
109 BIRCH ST, GLENWOOD, IA 51534-1061
(402) 616-5339
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
137292
IA
Other
Enumeration date
05/24/2023
Last updated
07/15/2024
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