MOLLY CATHERINE LONG N.P. NPI 1164815379

NPI Information

NPI: 1164815379
Provider Name: MOLLY CATHERINE LONG, N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
3512 STELLHORN RD
FORT WAYNE, IN
ZIP 46815
Phone: (260) 483-9081
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Molly Catherine Long, N.P. is an adult health nurse practitioner in Fort Wayne, IN. Molly Catherine Long, N.P. NPI is 1164815379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3512 STELLHORN RD
FORT WAYNE, IN
ZIP 46815-631
Phone: (260) 483-9081
Fax: (260) 483-9196

The enumeration date for this NPI number is 3/12/2015 and was last updated on 12/6/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		28192221A	INDIANA	No
2	363LA2200X	Nurse Practitioner	Adult Health	71005386A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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