NPI 1003456609

Wanda K. Long, ACNPBC

Practitioner Acute Care Nurse Practitioner Palm Desert, CA

Practice location

Address: 40891 Breezy Pass Rd, Palm Desert, CA 92211-7263
Phone: (757) 714-0916

Registered specialties

Acute Care Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2100X Licence 95013493 (CA)

Other Nurse Practitioner providers in California →

Registry record

NPI: 1003456609
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jan 2020
Record last updated: 10 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.