Individual provider · Type 1 NPI

Edinam Long, DNP

Family Nurse Practitioner · Green Bay, WI

NPI number 1861216384 Active

Practice location

1920 Libal St
Green Bay, WI 54301-2471

Mailing address

W2261 Woodridge Dr
Marinette, WI 54143-9752

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X15580-33 (WI)
Family Nurse Practitioner Primary 363LF0000X15580-33 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1861216384

Edinam Long, DNP's National Provider Identifier is 1861216384, issued on Nov 12, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Green Bay, WI. The record was last updated on Aug 19, 2025.