ANGELA L LONG

SWANSEA, IL
NPI1639532609
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209013742)
Enumeration Date2016-03-29
Last Update Date2021-11-15
Business Address
Ms. ANGELA L LONG FNP
19 WOLF CREEK DR DEPT OTOLARYNGOLOGY
SWANSEA, IL 62226-2355
Phone number: 618-235-3687
Mailing Address
Ms. ANGELA L LONG FNP
660 S EUCLID AVE CB 8115
SAINT LOUIS, MO 63110-1010
Phone number: 314-362-7509
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