NPI 1659919611

Heather Marie Long

Practitioner Mastectomy Fitter Berkeley, MO

Practice location

Address: 6654 Bitteroot Ln, Berkeley, MO 63134-1451
Phone: (314) 395-5874

Registered specialties (2)

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1659919611
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Dec 2019
Record last updated: 8 Jan 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.