Individual
KRISTIN MARIE LONGACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4121 LOWER RHINEY CREEK RD, HALLSTEAD, PA 18822-9006
(570) 967-2756
Mailing address
4121 LOWER RHINEY CREEK RD, HALLSTEAD, PA 18822-9006
(570) 967-2756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
411011
NY
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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