PATRICIA LYNN LONG CNP CNS NPI 1952429672

NPI Information

NPI: 1952429672
Provider Name: PATRICIA LYNN LONG, CNP, CNS
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
368 NORTHEAST AVE
TALLMADGE, OH
ZIP 44278
Phone: (216) 906-4923
Get Directions

Patricia Lynn Long, CNP, CNS is a gerontology nurse practitioner in Tallmadge, OH. Patricia Lynn Long, CNP, CNS NPI is 1952429672. 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:

368 NORTHEAST AVE
TALLMADGE, OH
ZIP 44278-443
Phone: (216) 906-4923

The NPI 1952429672 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 3/27/2007 and was last updated on 6/3/2015.

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	364SG0600X	Clinical Nurse Specialist	Gerontology	NS07470	OHIO	No
2	363LG0600X	Nurse Practitioner	Gerontology	NP09090	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	Q27985	MEDICARE UPIN	OHIO
2	0078541	MEDICAID	OHIO
3	NP33731	MEDICARE PIN	OHIO

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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