Individual
ALEXANDRA DANIELLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
123 METRO BLVD, NUTLEY, NJ 07110-6101
(908) 552-8112
Mailing address
123 METRO BLVD, NUTLEY, NJ 07110-6101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NR19508200
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15372700
NJ
Other
Enumeration date
11/02/2024
Last updated
04/29/2026
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