Individual provider · Type 1 NPI

Wanda K. Long, ACNP-BC

Acute Care Nurse Practitioner · Palm Desert, CA

NPI number 1003456609 Active

Practice location

40891 Breezy Pass Rd
Palm Desert, CA 92211-7263

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X95013493 (CA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1003456609

Wanda K. Long, ACNP-BC's National Provider Identifier is 1003456609, issued on Jan 10, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Palm Desert, CA. The record was last updated on Jan 10, 2020.