Individual
DR. REGINA J LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP-C, DNP
Contact information
Practice address
7955 TUCKERMAN LN, ROCKVILLE, MD 20854-3243
(866) 389-2727
(612) 659-7101
Mailing address
601 FOREST WALK LN, APT 203, ODENTON, MD 21113-2435
(724) 633-0311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R171310
MD
Other
Enumeration date
06/29/2006
Last updated
01/18/2011
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