Individual
MRS. ELIZABETH RAE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNS
Contact information
Practice address
1314 E SONTERRA BLVD STE 5102, SAN ANTONIO, TX 78258-4289
(210) 490-8888
Mailing address
1314 E SONTERRA BLVD STE 5102, SAN ANTONIO, TX 78258-4289
(210) 490-8888
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP133960
TX
Other
Enumeration date
08/28/2015
Last updated
01/05/2022
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