Individual
MR. MICHAEL LONGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
12 ELM TER, WHEELING, WV 26003-5064
(304) 905-8695
Mailing address
608 PINE VALLEY DR, STEUBENVILLE, OH 43953-3301
(304) 374-5664
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
118804
WV
Other
Enumeration date
10/05/2021
Last updated
03/30/2024
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