person
Nicole Diane Long, FNP-C
Family Nurse Practitioner in Idaho Falls, Idaho
NPI 1891058939

Nicole Diane Long is a Family Nurse Practitioner based in Idaho Falls, ID and is specialized in Family. Nicole Diane Long practices in Idaho Falls, ID and has the professional credentials of FNP-C. The NPI Number for Nicole Diane Long is 1891058939 and holds a License No. NP-1171A (Idaho).

The current practice location address for Nicole Diane Long is 2990 Cortez Ave, Idaho Falls, ID and can be reached out via phone at 208-535-0440 and via fax at 208-535-0550.

Location: 2990 Cortez Ave, Idaho Falls, ID, 83404-7554
person
Provider Profile Details
NPI Number
1891058939
Provider Name
Nicole Diane Long
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
2990 Cortez Ave, Idaho Falls, ID, 83404-7554
Phone Number
208-535-0440
Fax Number
208-535-0550
Provider Enumeration Date
06/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2990 Cortez Ave
City
State
Zip
83404-7554
Phone Number
208-535-0440
Fax Number
208-535-0550
person
Provider Business Mailing Address Details
Address
2990 Cortez Ave
City
State
Zip
83404-7554
Phone Number
208-535-0440
Fax Number
208-535-0550
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
NP-1171A (Idaho)
Definition
Definition to come...
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