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NPI Code Detail

MEDICARE: MS. MARSHA NADINE LONG APRN, BC

MEDICARE: MS. MARSHA NADINE LONG APRN, 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
1363L00000XNurse Practitioner123963NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G17295AOTHERGAMEDICARE PTAN
2NCY510AOTHERNCMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447250394
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARSHA NADINE LONG APRN, BC
Provider Business Mailing Address
First Line : 183 LEDFORD ST
Second Line :
City : MURPHY
State : NC
Zip : 28906-6213
Country : US
Telephone Number : 828-837-4712
Fax Number : 706-258-4141
Provider Business Practice Location Address
First Line : 183A LEDFORD ST
Second Line :
City : MURPHY
State : NC
Zip : 28906-6213
Country : US
Telephone Number : 828-837-4712
Fax Number : 828-837-4808
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 11/16/2022

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Directions to “ MS. MARSHA NADINE LONG APRN, BC” Practice Location

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