Individual
DONNA F LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4739 TIERRA ALTA CT, LAKELAND, FL 33813-2362
(402) 676-7132
Mailing address
4739 TIERRA ALTA CT, LAKELAND, FL 33813-2362
(402) 676-7132
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
100352
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9272551
FL
Other
Enumeration date
01/23/2007
Last updated
03/28/2013
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