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NPI Code Detail

MEDICARE: SUZIE H LONG C.R.N.P.

MEDICARE: SUZIE H LONG C.R.N.P.
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 PractitionerSP008386PA

General Provider Information

NPI Number : 1962405589
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZIE H LONG C.R.N.P.
Provider Business Mailing Address
First Line : 3411 SILVERSIDE RD STE 100
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-4811
Country : US
Telephone Number : 302-543-5454
Fax Number :
Provider Business Practice Location Address
First Line : 3411 SILVERSIDE RD STE 100
Second Line :
City : WILMINGTON
State : DE
Zip : 19810-4811
Country : US
Telephone Number : 302-543-5454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2005
Last Update Date : 08/15/2023

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Directions to “ SUZIE H LONG C.R.N.P.” Practice Location

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