MICHELLE DAWN LONG

EDGEWOOD, KY
NPI1699976431
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3005068)
Additional Taxonomies163W00000X Registered Nurse
(Licence: KY  1092014)
363LA2200X Nurse Practitioner, Adult Health
(Licence: KY  3005068)
Enumeration Date2007-05-30
Last Update Date2019-10-29
Business Address
MICHELLE DAWN LONG NP
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 41017-3403
Phone number: 859-301-2237
Mailing Address
MICHELLE DAWN LONG NP
PO BOX 636324
CINCINNATI, OH 45263-6324
Phone number: 859-301-2237