Individual
PATRICIA LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP, CNS
Contact information
Practice address
368 NORTHEAST AVE, TALLMADGE, OH 44278-1443
(216) 906-4923
Mailing address
368 NORTHEAST AVE, TALLMADGE, OH 44278-1443
(216) 906-4923
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP09090
OH
364SG0600X
Gerontology Clinical Nurse Specialist
NS07470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078541
—
OH
Enumeration date
03/27/2007
Last updated
06/03/2015
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