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Mary Long, APRNCNP
Family Nurse Practitioner in Bethany, Oklahoma
NPI 1609524776

Mary Long is a Family Nurse Practitioner based in Bethany, OK and is specialized in Family. Mary Long practices in Bethany, OK and has the professional credentials of APRNCNP. The NPI Number for Mary Long is 1609524776 and holds a License No. 207060 (Oklahoma).

The current practice location address for Mary Long is 6800 Nw 39Th Expy, Bethany, OK and can be reached out via phone at 405-789-6711.

Location: 6800 Nw 39Th Expy, Bethany, OK, 73008-2513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609524776
Provider Name
Mary Long
Credential
APRNCNP
Provider Entity Type
Individual
Gender
Female
Address
6800 Nw 39Th Expy, Bethany, OK, 73008-2513
Phone Number
405-789-6711
Fax Number
Provider Enumeration Date
03/16/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
207060 01 OK OKLAHOMA BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
6800 Nw 39Th Expy
City
Bethany
State
Oklahoma
Zip
73008-2513
Phone Number
405-789-6711
Fax Number
person
Provider Business Mailing Address Details
Address
6800 Nw 39Th Expy
City
Bethany
State
Oklahoma
Zip
73008-2513
Phone Number
405-789-6711
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
207060 (Oklahoma)
Definition
Definition to come...
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