Long, Mary Bronwyn

Long, Mary Bronwyn is an individual health care provider with primary practice located at 1400 Jackson St , Denver CO 80206-2761. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Long, Mary Bronwyn can be contacted via phone (303) 388-4461.

Contact Information

Primary practice address
1400 Jackson St Denver CO 80206-2761
Phone: (303) 388-4461
Fax: (303) 270-2206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 173629 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X R1827185 Minnesota

Profile Details

NPI number 1013188663
LBN Legal business name Long, Mary Bronwyn
Credentials CNS, ACHPN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2008
Last updated Nov 12th, 2020 - about 4 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 1013188663 NPPES
Colorado MEDICAID 65976754

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