Sharonda Longino, FNP | |
25343 Silver Aspen Way Apt 838, Valencia, CA 91381-0774 | |
(404) 587-8817 | |
Not Available |
Full Name | Sharonda Longino |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 25343 Silver Aspen Way Apt 838, Valencia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1861032757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | NP95013366 (California) | Primary |
Entity Name | Huntington Dermatology Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275664435 PECOS PAC ID: 6709821697 Enrollment ID: O20050621001323 |
Mailing Address | Practice Location Address |
---|---|
Sharonda Longino, FNP 25343 Silver Aspen Way Apt 838, Valencia, CA 91381-0774 Ph: (404) 587-8817 | Sharonda Longino, FNP 25343 Silver Aspen Way Apt 838, Valencia, CA 91381-0774 Ph: (404) 587-8817 |
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