Individual
ASHLEY M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
504 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
Mailing address
504 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
73100
NM
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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