Individual
MRS. MADELINE ELIZABETH LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
66 BRANCH AVE, PROVIDENCE, RI 02904-2737
(401) 606-2590
Mailing address
66 BRANCH AVE, PROVIDENCE, RI 02904-2737
(401) 606-2590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN03183
RI
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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