Individual
MICHELLE DAWN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2237
(859) 301-3962
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 301-2237
(859) 301-3962
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1092014
KY
363L00000X
Nurse Practitioner
Primary
3005068
KY
363LA2200X
Adult Health Nurse Practitioner
3005068
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2852506
—
OH
05
—
7100041660
—
KY
Enumeration date
05/30/2007
Last updated
10/29/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us