| Vanessa Long Aprn Inc | |
|
3261 24th Ave Nw Ste 101 Norman OK 73069-6666 | |
| (405) 251-7338 | |
| (405) 444-3965 |
| Full Name | Vanessa Long Aprn Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3261 24th Ave Nw Ste 101, Norman, Oklahoma |
| Authorized Official Name and Position | Vanessa Long (OWNER, PRESIDENT) |
| Authorized Official Contact | 4058220074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Long Aprn Inc 14201 W Sunrise Blvd Ste 208 Sunrise FL 33323-3207 Ph: (405) 251-7338 | Vanessa Long Aprn Inc 3261 24th Ave Nw Ste 101 Norman OK 73069-6666 Ph: (405) 251-7338 |
| NPI Number | 1952879868 |
|---|---|
| Provider Enumeration Date | 11/08/2018 |
| Last Update Date | 06/10/2024 |
| Certification Date | 06/10/2024 |
| Medicare PECOS PAC ID | 9638402811 |
|---|---|
| Medicare Enrollment ID | O20190603000881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952879868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Vanessa R Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417254236 PECOS PAC ID: 7214113000 Enrollment ID: I20190603000756 |
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