Individual
NANCY YVETTE LONGHENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
134 W MADISON AVE, GRANTSBURG, WI 54840-7022
(715) 463-5004
(715) 463-5003
Mailing address
134 W MADISON AVE, PO BOX 337, GRANTSBURG, WI 54840-7022
(715) 463-5004
(715) 463-5003
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
114823-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100023524
—
WI
Enumeration date
10/03/2013
Last updated
10/03/2013
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