Individual provider · Type 1 NPI

Diane Paige Long, APRN

Pediatric Nurse Practitioner · Atlanta, GA

NPI number 1083653869 Active

Practice location

1405 Clifton Rd NE
Atlanta, GA 30322-4634

Fax (404) 785-1994

Mailing address

601 5th St S, Cardiology
St. Petersburg, FL 33701-4804

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200XF381443 (NY)
Pediatric Nurse Practitioner 363LP0200XARNP 9246874 (FL)
Pediatric Nurse Practitioner Primary 363LP0200XRN280201 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1083653869

Diane Paige Long, APRN's National Provider Identifier is 1083653869, issued on Jun 6, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Atlanta, GA. The record was last updated on Jul 19, 2024.