person
Ms. Angela L Long, FNP
Family Nurse Practitioner in Swansea, Illinois
NPI 1639532609

Angela L Long is a Family Nurse Practitioner based in Saint Louis, IL and is specialized in Family. Angela L Long practices in Swansea, IL and has the professional credentials of FNP. The NPI Number for Angela L Long is 1639532609 and holds a License No. 209013742 (Illinois).

The current practice location address for Angela L Long is 19 Wolf Creek Dr, Swansea, IL and can be reached out via phone at 618-235-3687 and via fax at 618-239-9492. You can also correspond with Angela L Long through the mailing address at 660 S EUCLID AVE, SAINT LOUIS, MO - 63110-1010 (mailing address contact number: 314-362-7509).

Location: 19 Wolf Creek Dr, Swansea, IL, 63110-1010
person
Provider Profile Details
NPI Number
1639532609
Provider Name
Angela L Long
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
19 Wolf Creek Dr, Swansea, IL, 63110-1010
Phone Number
618-235-3687
Fax Number
618-239-9492
Provider Enumeration Date
03/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
420078251 05 MO
institution
Provider Business Practice Location Address Details
Address
19 Wolf Creek Dr
City
State
Zip
62226-2355
Phone Number
618-235-3687
Fax Number
618-239-9492
person
Provider Business Mailing Address Details
Address
660 S Euclid Ave
City
State
Zip
63110-1010
Phone Number
314-362-7509
Fax Number
314-362-7522
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209013742 (Illinois)
Definition
Definition to come...
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