Kathleen A Long is a Family in Mishawaka, Indiana. Kathleen A Long practices all healthcare services and medical treatments related to Family. The NPI Number for Kathleen A Long is 1831113026. The last update date is 2019-01-17.
Kathleen A Long's current location address is 420 W 4th St, Mishawaka, Indiana. You can contact this provider via phone number 5743077673 and fax number 5743077692. The mailing address for Kathleen A Long is 420 W 4th St, Mishawaka, Indiana. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kathleen A Long |
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Address | 420 W 4th St, Mishawaka, Indiana |
Phone Number | 5743077673 |
Fax Number | 5743077692 |
Sole Proprietor | N |
Credentials | APRN-BC, N |
NPI Number Detail
NPI Number | 1831113026 |
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Provider Enumeration Date | 2006-07-27 |
Last Updated Date | 2019-01-17 |
Provider Mailing Address Detail
Address | 420 W 4th St |
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City | Mishawaka |
State | Indiana (IN) |
Post Code | 465441948 |
Phone Number | 5743077673 |
Fax Number | 5743077692 |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | 71001562A |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
200441170 | IN | -- | |
878026 | IN | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Kathleen A Long by the Centers for Medicare & Medicaid Services?
The Kathleen A Long has been issued the NPI (National Provider Identifier) 1831113026. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kathleen A Long is physically located?
The Kathleen A Long is physically situated at the following address: 420 W 4Th St, Mishawaka, IN, 465441948.
What is Kathleen A Long's area of expertise and its corresponding taxonomy classification?
The Kathleen A Long's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Kathleen A Long receive the assignment of its 1831113026 from the Centers for Medicare & Medicaid Services?
The Kathleen A Long was issued its 1831113026 by the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date was the information regarding Kathleen A Long, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kathleen A Long, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-01-17.