NPI 1366159964
Nicole L Long
Practice location
- Address
- 64 State St, Gassaway, WV 26624-1132
- Phone
- (304) 364-1063
- Fax
- (304) 364-8637
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1366159964
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Nov 2022
- Record last updated
- 2 Nov 2022
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.