Nicole Diane Long, FNP-C is a family nurse practitioner in Idaho Falls, ID with 12 years of experience. Nicole Diane Long, FNP-C NPI is 1891058939. 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:
2990 CORTEZ AVE
IDAHO FALLS, ID
ZIP 83404-554
Phone: (208) 535-0440
Fax: (208) 535-0550
The NPI 1891058939 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/22/2012 and was last updated on 6/22/2012.