PAULETTE DENISE LONG CRNP NPI 1689674004

NPI Information

  • NPI: 1689674004
  • Provider Name: PAULETTE DENISE LONG, CRNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 1501 DIVISION ST
    BALTIMORE, MD
    ZIP 21217
  • Phone: (410) 383-8300

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NPI Details

Paulette Denise Long, CRNP is a pediatrics nurse practitioner in Baltimore, MD. Paulette Denise Long, CRNP NPI is 1689674004. 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:

1501 DIVISION ST
BALTIMORE, MD
ZIP 21217-121
Phone: (410) 383-8300
Fax: (410) 728-4412

The enumeration date for this NPI number is 7/28/2005 and was last updated on 12/22/2010.

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
1363LP0200XNurse PractitionerPediatricsR064853MARYLANDYes

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: 11/21/2025

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