Individual provider · Type 1 NPI
Nicole Long, FNP
Family Nurse Practitioner · Lafayette, CA
NPI number
1174634950
Active
Practice location
902 Carl Rd
Lafayette, CA 94549-4807
Fax (925) 403-7736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 551784 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1174634950
Nicole Long, FNP's National Provider Identifier is 1174634950, issued on Aug 31, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lafayette, CA. The record was last updated on Sep 17, 2012.