Individual
DARNA KHAV LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C, PMHNP-BC
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-8302
(602) 406-7247
Mailing address
3800 S ALMA SCHOOL RD STE 112, CHANDLER, AZ 85248-4499
(602) 406-3000
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AG06210004
AZ
363LA2200X
Adult Health Nurse Practitioner
258805
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
258805
AZ
Other
Enumeration date
06/01/2021
Last updated
06/23/2025
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