Theresa Genetelli Long in Nassawadox - Family
Theresa Genetelli Long - NPI 1831300888
Theresa Genetelli Long is a Family in Nassawadox, Virginia. Theresa Genetelli Long practices all healthcare services and medical treatments related to Family. The NPI Number for Theresa Genetelli Long is 1831300888. The last update date is 2011-03-08.
Theresa Genetelli Long's current location address is 9507 Hospital Ave., Nassawadox, Virginia. You can contact this provider via phone number 7574148351. The mailing address for Theresa Genetelli Long is 9507 Hospital Ave., Nassawadox, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa Genetelli Long |
|---|---|
| Address | 9507 Hospital Ave., Nassawadox, Virginia |
| Phone Number | 7574148351 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.N.P. |
NPI Number Detail
| NPI Number | 1831300888 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2011-03-08 |
Provider Mailing Address Detail
| Address | 9507 Hospital Ave. |
|---|---|
| City | Nassawadox |
| State | Virginia (VA) |
| Post Code | 23413 |
| Phone Number | 7574148351 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | ML1442982 |
|
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 |
|---|---|---|---|
| 17138585 | VA | PRESCRIPTIVE AUTHORITY | |
| ML1442982 | VA | LICENSE |
Post Comment/ Review Below
What is the Theresa Genetelli Long's unique identification number?
The Theresa Genetelli Long has been assigned the NPI (National Provider Identifier) Number 1831300888 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Theresa Genetelli Long's facilities are geographically located?
The facilities of Theresa Genetelli Long are physically situated at the following location: 9507 Hospital Ave., Nassawadox, VA, 23413.
What is the Theresa Genetelli Long's specialty and taxonomy code?
The Theresa Genetelli Long's specialty is Family, and the corresponding taxonomy code is 363Lf0000X.
On what date was the 1831300888 assigned to Theresa Genetelli Long?
The Theresa Genetelli Long was issued its 1831300888 on 2007-05-24, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Theresa Genetelli Long most recently updated or revised?
The information pertaining to Theresa Genetelli Long, including its address, specialty, and other relevant details, was last updated or revised on 2011-03-08.