Individual provider · Type 1 NPI
Tracey Bates Long, RN, APRN, PhD
Primary Care Nurse Practitioner · Houston, TX
NPI number
1104478551
Active
Practice location
7501 Fannin St Ste 705
Houston, TX 77054-1958
Mailing address
10550 Habersham Ct
Las Vegas, NV 89183-4551
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 822517 (NV) |
Primary Care Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1104478551
Tracey Bates Long, RN, APRN, PhD's National Provider Identifier is 1104478551, issued on Jul 15, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Houston, TX. The record was last updated on Jul 15, 2019.