Individual provider · Type 1 NPI
Madonna Elizabeth Marie Long
Durable Medical Equipment & Medical Supplies · Kemmerer, WY
NPI number
1023600723
Active
Practice location
806 Pine Ave
Kemmerer, WY 83101-2900
Mailing address
PO Box 1074
Kemmerer, WY 83101-1074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | None listed |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Another provider at this address
About NPI 1023600723
Madonna Elizabeth Marie Long's National Provider Identifier is 1023600723, issued on Feb 4, 2021. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Kemmerer, WY. The record was last updated on Feb 4, 2021.