Individual
DEBORAH JEAN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
8181 N CORNERSTONE DR, HAYDEN LAKE, ID 83835-8752
(208) 772-0785
Mailing address
8181 N CORNERSTONE DR, HAYDEN, ID 83835-8752
(208) 772-0785
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP60029232
WA
363L00000X
Nurse Practitioner
Primary
NP-867A
ID
Other
Enumeration date
06/26/2008
Last updated
07/24/2025
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