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Individual

MARY NASH LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
78 MEDICAL CENTER DR, FISHERSVILLE, VA 22939
(540) 245-7230
(540) 245-7235
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-5162
(540) 932-5875

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178286
VA
363LF0000X
Family Nurse Practitioner
088814
MO

Other

Enumeration date
07/19/2005
Last updated
10/28/2019
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