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NPI Code Detail

MEDICARE: MARGIE M DELONG NP

MEDICARE:   MARGIE M DELONG  NP
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
1363LW0102XWomen's Health Nurse PractitionerNP01040OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CTP01040OTHEROHCERTIFICATE TO PRESCRIBE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982693248
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGIE M DELONG NP
Provider Business Mailing Address
First Line : 6420 BROCKWAY RD
Second Line : 1
City : THOMPSON
State : OH
Zip : 44086-9539
Country : US
Telephone Number : 440-298-1397
Fax Number :
Provider Business Practice Location Address
First Line : 54 S STATE ST
Second Line : FAMILY PLANNING ASSOCIATION OF NORTHEAST OHIO SUITE 203
City : PAINESVILLE
State : OH
Zip : 44077-3445
Country : US
Telephone Number : 440-352-0608
Fax Number : 440-352-0640
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2005
Last Update Date : 07/08/2007

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