Individual provider · Type 1 NPI

Kathleen A. Long, APRN-BC, ND

Family Nurse Practitioner · Mishawaka, IN

NPI number 1831113026 Active

Practice location

420 W 4th St
Mishawaka, IN 46544-1948

Fax (574) 307-7692

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71001562A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1831113026

Kathleen A. Long, APRN-BC, ND's National Provider Identifier is 1831113026, issued on Jul 27, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mishawaka, IN. The record was last updated on Jan 17, 2019.