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NPI Code Detail

MEDICARE: KAREN ANN LONG RN

MEDICARE: KAREN ANN LONG RN
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
1163W00000XRegistered NurseRN89361ME

General Provider Information

NPI Number : 1639038524
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN ANN LONG RN
Provider Business Mailing Address
First Line : 166 NEW COUNTY RD
Second Line :
City : ROCKLAND
State : ME
Zip : 04841-5320
Country : US
Telephone Number : 207-596-0312
Fax Number :
Provider Business Practice Location Address
First Line : 166 NEW COUNTY RD
Second Line :
City : ROCKLAND
State : ME
Zip : 04841-5320
Country : US
Telephone Number : 207-596-0312
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2026
Last Update Date : 01/17/2026

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