NPI 1720672066

Michaela Norris Long, CFM

Practitioner Mastectomy Fitter Fayetteville, NC

Practice location

Address: 234 Owen Dr, Fayetteville, NC 28304-3414
Phone: (910) 323-9016
Fax: (910) 486-8712
Mailing address: PO Box 87067, Fayetteville, NC 28304-7067

Registered specialties

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X Licence CFM03435 (NC)

Other Mastectomy Fitter providers in North Carolina →

Registry record

NPI: 1720672066
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2021
Record last updated: 26 Feb 2021

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.