Long, Angela Desiree

Long, Angela Desiree is an individual health care provider with primary practice located at 11560 Crossroads Cir Ste 102 , Middle River MD 21220-2885. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Long, Angela Desiree can be contacted via phone (410) 508-0722.

Contact Information

Primary practice address
11560 Crossroads Cir Ste 102 Middle River MD 21220-2885
Phone: (410) 508-0722
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R192628 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R192628 Maryland

Profile Details

NPI number 1720458706
LBN Legal business name Long, Angela Desiree
Credentials FNP-BC, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2015
Last updated Jun 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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