Long, Angela M

Long, Angela M is an individual health care provider with primary practice located at 1910 Malvern Ave , Hot Springs AR 71901-7752. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Long, Angela M can be contacted via phone (800) 235-1415.

Contact Information

Primary practice address
1910 Malvern Ave Hot Springs AR 71901-7752
Phone: (800) 235-1415
Fax: (913) 234-1108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R73939 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CTP000068 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CO2708 Arkansas

Profile Details

NPI number 1124286877
LBN Legal business name Long, Angela M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated May 18th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124286877 NPPES
Arkansas MEDICAID 174706001
Arkansas Other P00628608
Arkansas Other 1124286877

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