Long, Holly
Long, Holly is an individual health care provider with primary practice located at 13501 Ne 28Th St , Vancouver WA 98682-8091. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Long, Holly can be contacted via phone (360) 604-6711.Contact Information
Primary practice address
13501 Ne 28Th St
Vancouver WA 98682-8091
Phone: (360) 604-6711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | RN00108347 | Washington |
Profile Details
| NPI number | 1639639057 |
|---|---|
| LBN Legal business name | Long, Holly |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2019 |
| Last updated | Mar 21st, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639639057 | NPPES |
| Washington | MEDICAID | 1245311141 |
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