NPI 1578534970

Stephanie Sue Long, CRNA

Practitioner Certified Registered Nurse Anesthetist Russellville, AR

Practice location

Address: 1808 W Main St, Russellville, AR 72801-2724
Phone: (479) 968-2841
Mailing address: PO Box 1351, Russellville, AR 72811-1351

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence C01566 (AR)

Other Nurse Anesthetist, Certified Registered providers in Arkansas →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence CTP161 (AR)

Registry record

NPI: 1578534970
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Feb 2006
Record last updated: 3 Jun 2008

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.