Individual
REBECCA LIBBY LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
1 JOSLIN PL, BOSTON, MA 02215-5306
(617) 732-2440
Mailing address
1 JOSLIN PL, BOSTON, MA 02215-5306
(617) 732-2440
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN256713
MA
Other
Enumeration date
11/02/2009
Last updated
12/14/2009
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