Individual provider · Type 1 NPI

Melissa Beth Long, RN

Diabetes Educator Registered Nurse · Provo, UT

NPI number 1336491067 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse Primary 163WD0400X6208301-3102 (UT)

Diabetes Educator Registered Nurse: Definition to come...

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About NPI 1336491067

Melissa Beth Long, RN's National Provider Identifier is 1336491067, issued on Oct 4, 2012. The primary taxonomy on file is Diabetes Educator Registered Nurse (163WD0400X), and the practice location is in Provo, UT. The record was last updated on Oct 4, 2012.