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NPI Code Detail

MEDICARE: HANNAH MARIE MARTIN-LONG

MEDICARE: HANNAH MARIE MARTIN-LONG
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
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1982532388
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH MARIE MARTIN-LONG
Provider Business Mailing Address
First Line : 4210 HARDY RIDGE DR
Second Line :
City : WOODBRIDGE
State : VA
Zip : 22192-6642
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9811 W CHARLESTON BLVD STE 2641
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-7528
Country : US
Telephone Number : 855-864-4322
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2026
Last Update Date : 05/13/2026

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Directions to “ HANNAH MARIE MARTIN-LONG ” Practice Location

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