Long, Mary
Long, Mary is an sole proprietor health care provider with primary practice located at 6800 Nw 39Th Expy , Bethany OK 73008-2513. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Long, Mary can be contacted via phone (405) 789-6711.Contact Information
Primary practice address
6800 Nw 39Th Expy
Bethany OK 73008-2513
Phone: (405) 789-6711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 207060 | Oklahoma |
Profile Details
| NPI number | 1609524776 |
|---|---|
| LBN Legal business name | Long, Mary |
| Credentials | APRN CNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2022 |
| Last updated | Jan 10th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609524776 | NPPES |
| Oklahoma | Other | 207060 | OKLAHOMA BOARD OF NURSING |
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