DR. THERESA GENETELLI LONG D.N.P. NPI 1831300888

NPI Information

NPI: 1831300888
Provider Name: DR. THERESA GENETELLI LONG, D.N.P.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
9507 HOSPITAL AVE.
NASSAWADOX, VA
ZIP 23413
Phone: (757) 414-8351
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DR. Theresa Genetelli Long, D.N.P. is a family nurse practitioner in Nassawadox, VA with 20 years of experience. DR. Theresa Genetelli Long, D.N.P. NPI is 1831300888. 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:

9507 HOSPITAL AVE.
NASSAWADOX, VA
ZIP 23413
Phone: (757) 414-8351

The NPI 1831300888 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 5/24/2007 and was last updated on 3/8/2011.

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	363LF0000X	Nurse Practitioner	Family	ML1442982	VIRGINIA	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	Other Provider Identifier Issuer
1	C00228	MEDICARE PIN	VIRGINIA
2	0017138585	OTHER	VIRGINIA	PRESCRIPTIVE AUTHORITY
3	ML1442982	OTHER	VIRGINIA	LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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