Kathleen Long, CNP Valid NPI

Individual provider · Pediatric Nurse Practitioner · Plymouth, MI

NPI

1720129224

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

4704148138 (MI)

Sex

Female

Sole proprietor

No

Enumerated

2007-02-09

Last updated

2007-07-08