MEDICARE: DIANA LONG AGACNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	AP129314	TX

General Provider Information

NPI Number	:	1992176242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIANA LONG AGACNP-BC

Provider Business Mailing Address
First Line	:	25606 WEIGELA
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78261-2821
Country	:	US
Telephone Number	:	210-793-7461
Fax Number	:

Provider Business Practice Location Address
First Line	:	25606 WEIGELA
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78261-2821
Country	:	US
Telephone Number	:	210-793-7461
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2015
Last Update Date	:	10/13/2015

Similar Medicare Providers

1417396730 — QUALITY WOUND CARE PROVIDERS PLLC
Practice Location Address:

25639 WEIGELA
SAN ANTONIO, TX
78261-2821

Practice Phone: 210-716-7490
Practice Fax:

1720889025 — GABRIELLE SWAYZE
Practice Location Address:

8024 ORCHARD BEND ST
SAN ANTONIO, TX
78250-2821

Practice Phone: 909-821-5630
Practice Fax:

1174636583 — MS. MICHELE ANITA RUBENSTEIN LCSW
Practice Location Address:

2821 CROW CANYON RD , SUITE 202
SAN RAMON, CA
94583-1659

Practice Phone: 925-413-2977
Practice Fax:

1366540510 — DR. MARJAN MOINZADEH PHD
Practice Location Address:

2821 CROW CANYON RD STE 202
SAN RAMON, CA
94583

Practice Phone: 925-895-2296
Practice Fax: 925-553-7881

1982798013 — MARSHALL B. LEE
Practice Location Address:

2821 CROW CANYON RD STE 104
SAN RAMON, CA
94583-1659

Practice Phone: 925-838-4222
Practice Fax: 925-838-5806

1366536401 — FRANK A TERRANOVA
Practice Location Address:

2821 CROW CANYON RD STE 104
SAN RAMON, CA
94583-1659

Practice Phone: 925-838-4222
Practice Fax: 925-838-5806

Directions to “ DIANA LONG AGACNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.