Long, Nicole

Long, Nicole is an individual health care provider with primary practice located at 902 Carl Rd , Lafayette CA 94549-4807. 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, Nicole can be contacted via phone (510) 333-5966.

Contact Information

Primary practice address
902 Carl Rd Lafayette CA 94549-4807
Phone: (510) 333-5966
Fax: (925) 403-7736
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 551784 California

Profile Details

NPI number 1174634950
LBN Legal business name Long, Nicole
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Sep 17th, 2012 - about 12 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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