Individual
MAKENNA RAE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6801 S YOSEMITE ST, CENTENNIAL, CO 80112-1406
(303) 773-9000
Mailing address
6801 S YOSEMITE ST, CENTENNIAL, CO 80112-1406
(303) 773-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.1000010-NP
CO
Other
Enumeration date
08/26/2024
Last updated
09/11/2024
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