Individual provider · Type 1 NPI

Meghan Long

Pediatric Nurse Practitioner · Philadelphia, PA

NPI number 1124691670 Active

Practice location

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Mailing address

2211 Locust St Apt L3R
Philadelphia, PA 19103-5569

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XSP023055 (PA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1124691670

Meghan Long's National Provider Identifier is 1124691670, issued on Jul 22, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 22, 2021.