Long, Ruthie Anita

Long, Ruthie Anita is an individual health care provider with primary practice located at 64629 Highway 41 , Pearl River LA 70452-3611. 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, Ruthie Anita can be contacted via phone (985) 863-7100.

Contact Information

Primary practice address
64629 Highway 41 Pearl River LA 70452-3611
Phone: (985) 863-7100
Fax: (985) 863-0085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN102300 APO6121 Louisiana

Profile Details

NPI number 1649573932
LBN Legal business name Long, Ruthie Anita
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2010
Last updated Jun 18th, 2015 - about 11 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 1649573932 NPPES
Mississippi MEDICAID 05922233
Mississippi MEDICAID 2145720

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