Individual
ANNETTE A. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9410 NE ZAC LENTZ PKWY, VICTORIA, TX 77904-3171
(361) 575-4524
(361) 575-4534
Mailing address
PO BOX 5099, VICTORIA, TX 77903-5099
(361) 575-4524
(361) 575-4534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
595695
TX
Other
Enumeration date
07/29/2011
Last updated
03/10/2016
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