Individual
BARBRA LONG GRADUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
84 MADRONE ST, WILLITS, CA 95490-4249
(707) 456-3062
(707) 456-3063
Mailing address
84 MADRONE ST, WILLITS, CA 95490-4249
(707) 456-3062
(707) 456-3063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95016871
CA
363LF0000X
Family Nurse Practitioner
F340298-1
NY
Other
Enumeration date
06/07/2016
Last updated
09/02/2021
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