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Daniel Longino
Acute Care Nurse Practitioner in Bossier City, Louisiana
NPI 1144779091

Daniel Longino is an Acute Care Nurse Practitioner based in Shreveport, LA and is specialized in Acute Care. Daniel Longino practices in Bossier City, LA. The NPI Number for Daniel Longino is 1144779091 and holds a License No. AP08930 (Louisiana).

The current practice location address for Daniel Longino is 2400 Hospital Dr Ste 130, Bossier City, LA and can be reached out via phone at 318-212-7990 and via fax at 318-212-7995.

Location: 2400 Hospital Dr Ste 130, Bossier City, LA, 71101-3910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144779091
Provider Name
Daniel Longino
Credential
Provider Entity Type
Individual
Gender
Male
Address
2400 Hospital Dr Ste 130, Bossier City, LA, 71101-3910
Phone Number
318-212-7990
Fax Number
318-212-7995
Provider Enumeration Date
10/03/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2432117 05 LA
institution
Provider Business Practice Location Address Details
Address
2400 Hospital Dr Ste 130
City
Bossier City
State
Louisiana
Zip
71111-2386
Phone Number
318-212-7990
Fax Number
318-212-7995
person
Provider Business Mailing Address Details
Address
2400 Hospital Dr Ste 130
City
Bossier City
State
Louisiana
Zip
71111-2386
Phone Number
318-212-7990
Fax Number
318-212-7995
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
AP08930 (Louisiana)
Definition
Definition to come...
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