Individual provider · Type 1 NPI
Doug Longo, APRN
Acute Care Nurse Practitioner · St. Louis, MO
NPI number
1003276866
Active
Practice location
1201 S Grand Blvd
St. Louis, MO 63104-1016
Fax (314) 977-1877
Mailing address
1008 S Spring Ave
St. Louis, MO 63110-2520
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 2016006780 (MO) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1003276866
Doug Longo, APRN's National Provider Identifier is 1003276866, issued on Mar 7, 2016. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in St. Louis, MO. The record was last updated on Oct 30, 2020.