Individual
TAYLOR A LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-PC
Contact information
Practice address
16611 S 40TH ST STE 160, PHOENIX, AZ 85048-0565
(480) 940-8527
Mailing address
16038 S 31ST ST, PHOENIX, AZ 85048-7721
(480) 309-5236
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
229094
AZ
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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