Individual
MRS. BEULAH ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
25 N 32ND ST, CAMP HILL, PA 17011-2918
(717) 730-9782
Mailing address
5420 RIDGE RD, ELIZABETHTOWN, PA 17022-8621
(717) 367-9140
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
TPOO4832C
PA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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