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Kathleen A Long, APRN-BC,ND
Family Nurse Practitioner in Mishawaka, Indiana
NPI 1831113026

Kathleen A Long is a Family Nurse Practitioner based in Mishawaka, IN and is specialized in Family. Kathleen A Long practices in Mishawaka, IN and has the professional credentials of APRN-BC,ND. The NPI Number for Kathleen A Long is 1831113026 and holds a License No. 71001562A (Indiana).

The current practice location address for Kathleen A Long is 420 W 4Th St, Mishawaka, IN and can be reached out via phone at 574-307-7673 and via fax at 574-307-7692.

Location: 420 W 4Th St, Mishawaka, IN, 46544-1948
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Provider Profile Details
NPI Number
1831113026
Provider Name
Kathleen A Long
Credential
APRN-BC,ND
Provider Entity Type
Individual
Gender
Female
Address
420 W 4Th St, Mishawaka, IN, 46544-1948
Phone Number
574-307-7673
Fax Number
574-307-7692
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200441170 05 IN
000000878026 01 IN BCBS
institution
Provider Business Practice Location Address Details
Address
420 W 4Th St
City
State
Zip
46544-1948
Phone Number
574-307-7673
Fax Number
574-307-7692
person
Provider Business Mailing Address Details
Address
420 W 4Th St
City
State
Zip
46544-1948
Phone Number
574-307-7673
Fax Number
574-307-7692
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71001562A (Indiana)
Definition
Definition to come...
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