Desiree Long, | |
10477 Harrison Ave, Harrison, OH 45030-1941 | |
(513) 202-8283 | |
Not Available |
Full Name | Desiree Long |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 10477 Harrison Ave, Harrison, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043847429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 025960 (Ohio) | Primary |
Entity Name | The Little Clinic Of Ohio Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336 |
Mailing Address | Practice Location Address |
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Desiree Long, 3662 Gary Dr, West Harrison, IN 47060-7736 Ph: (513) 504-4555 | Desiree Long, 10477 Harrison Ave, Harrison, OH 45030-1941 Ph: (513) 202-8283 |
Mrs. Kathy Ann Hildebrecht, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10477 Harrison Ave, Harrison, OH 45030 Phone: 513-202-8283 | |
Kelsey Marie Holdcraft, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10477 Harrison Ave, Harrison, OH 45030 Phone: 513-202-8283 | |
Juliana Watts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1529 Abigail Ct, Harrison, OH 45030 Phone: 513-728-5082 | |
Stephanie Barnett, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10541 Harrison Ave, Harrison, OH 45030 Phone: 513-202-0124 | |
Sarah Wylds, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10541 Harrison Ave, Harrison, OH 45030 Phone: 513-202-0134 | |
Amberly Gentry, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 620 Ring Rd, Suite B, Harrison, OH 45030 Phone: 513-845-4558 Fax: 513-845-4568 |