person
Dr. Theresa Genetelli Long, DNP
Family Nurse Practitioner in Nassawadox, Virginia
NPI 1831300888

Theresa Genetelli Long is a Family Nurse Practitioner based in Cape Charles, VA and is specialized in Family. Theresa Genetelli Long practices in Nassawadox, VA and has the professional credentials of DNP. The NPI Number for Theresa Genetelli Long is 1831300888 and holds a License No. ML1442982 (Virginia).

The current practice location address for Theresa Genetelli Long is 9507 Hospital Ave., Nassawadox, VA and can be reached out via phone at 757-414-8351.

Location: 9507 Hospital Ave., Nassawadox, VA, 23310-2000
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Provider Profile Details
NPI Number
1831300888
Provider Name
Theresa Genetelli Long
Credential
DNP
Provider Entity Type
Individual
Gender
Female
Address
9507 Hospital Ave., Nassawadox, VA, 23310-2000
Phone Number
757-414-8351
Fax Number
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0017138585 01 VA PRESCRIPTIVE AUTHORITY
ML1442982 01 VA LICENSE
institution
Provider Business Practice Location Address Details
Address
9507 Hospital Ave.
City
State
Zip
23413
Phone Number
757-414-8351
Fax Number
person
Provider Business Mailing Address Details
Address
9507 Hospital Ave.
City
State
Zip
23413
Phone Number
757-414-8351
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
ML1442982 (Virginia)
Definition
Definition to come...
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