Individual provider · Type 1 NPI

Carolyn H. Long, CRNP

Nurse Practitioner · Washington, DC

NPI number 1124182274 Active

Practice location

2100 W Pennsylvania Ave
Washington, DC 20037-3202

Fax (202) 872-7212

Mailing address

2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West Kaiser Permanente
Rockville, MD 20852-4908

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X0001078167 (VA)
Nurse Practitioner Primary 363L00000XRN41947 (DC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124182274

Carolyn H. Long, CRNP's National Provider Identifier is 1124182274, issued on Dec 21, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Washington, DC. The record was last updated on Jul 8, 2007.