person
Linda Marie Long, FNP-BC
Family Nurse Practitioner in San Clemente, California
NPI 1104094937

Linda Marie Long is a Family Nurse Practitioner based in San Clemente, CA and is specialized in Family. Linda Marie Long practices in San Clemente, CA and has the professional credentials of FNP-BC. The NPI Number for Linda Marie Long is 1104094937 and holds a License No. 95000750 (California).

The current practice location address for Linda Marie Long is 187 Avenida La Pata, San Clemente, CA and can be reached out via phone at 949-528-4758 and via fax at 949-288-0432.

Location: 187 Avenida La Pata, San Clemente, CA, 92673-0107
person
Provider Profile Details
NPI Number
1104094937
Provider Name
Linda Marie Long
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
187 Avenida La Pata, San Clemente, CA, 92673-0107
Phone Number
949-528-4758
Fax Number
949-288-0432
Provider Enumeration Date
02/14/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CA131622 01 CA MEDICARE IDENTIFICATION NUMBER (PTAN)
institution
Provider Business Practice Location Address Details
Address
187 Avenida La Pata
City
State
Zip
92673-6307
Phone Number
949-528-4758
Fax Number
949-288-0432
person
Provider Business Mailing Address Details
Address
187 Avenida La Pata
City
State
Zip
92673-6307
Phone Number
949-528-4758
Fax Number
949-288-0432
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
95000750 (California)
Definition
Definition to come...
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