Individual provider · Type 1 NPI
Vicki Long
Psychiatric/Mental Health Registered Nurse · Fresno, CA
NPI number
1255902052
Active
Practice location
4411 E Kings Canyon Rd # 319
Fresno, CA 93702-3604
Mailing address
3433 W Shaw Ave Ste 102
Fresno, CA 93711-3229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 95177174 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1255902052
Vicki Long's National Provider Identifier is 1255902052, issued on Jul 2, 2021. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Fresno, CA. The record was last updated on Jul 2, 2021.